SearchIdaho171100000X

Alan Shaw, L.AC

NPI 1689981623 · on the registry since 2010 · sole proprietor

Practice

Address
1412 Columbus St
Boise, ID 83705
Phone
(208) 284-0313

Registry record

Primary taxonomy
171100000X
171100000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2010-09-13

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