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Search › Idaho › Medical Physician Assistant

Trent Shaw, PA-C

NPI 1366488926 · on the registry since 2006

Practice

Address
72 E Main St
Rexburg, ID 83440
Phone
(208) 359-1770
Fax
(208) 359-1780
Organisation at this address
Community Care Pllc
Mountain View Hospital Llc
Community Care Rexburg Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
Medical Physician Assistant
363AM0700X
Also registered as
Physician Assistant
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2011-09-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho