Search › Idaho › 2083X0100X
Shane Mccauley, MD
NPI 1083603229 · on the registry since 2005 · sole proprietor
Practice
- Address
- 6051 W Emerald St
Boise, ID 83704 - Phone
- (208) 302-7600
- Fax
- (208) 302-7605
- Clinicians at this address
- 58
Registry record
- Primary taxonomy
- 2083X0100X
2083X0100X
- Also registered as
- 171000000X
207Q00000X
207Q00000X
2083A0100X - Licence states on file
- IN, ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-11-05
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