Search › Idaho › Surgical Physician Assistant
Shannon Gardiner, PA
NPI 1689701260 · on the registry since 2007
Practice
- Address
- 875 S Vanguard Way Ste 200
Meridian, ID 83642 - Phone
- (208) 809-2895
- Fax
- (208) 809-2896
- Organisation at this address
- Urology Clinic
Jonathon C Wolf Md Pllc
Sparrow Speech Studio, Llc
Boise Endoscopy Center, Llc
Alliance Medical Group, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 15
Additional practice sites
- 360 E Montvue Dr, Meridian, ID
Registry record
- Primary taxonomy
- Surgical Physician Assistant
363AS0400X
- Also registered as
- Physician Assistant
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-04-24
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