Ryan Shackelford MD, PLLC
Ryan Shackelford MD, PLLC is a Psychiatry Physician in Boise, Idaho. Registered with an NPI since 2022.
- In the registry since
- 2022
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1525 S Owyhee StBoise, ID 83705-6014
Phone: (208) 297-3698
Fax: (208) 561-8051
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychiatry Physician (primary) | Taxonomy 2084P0800X |
|---|
Record details
| NPI number | 1447969506 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | James Shackelford — Psychiatrist · (208) 297-3698 |
| NPI enumerated | November 17, 2022 |
| Last updated in NPPES | November 17, 2022 |
| Certification date | November 17, 2022 |
| Mailing address | 1525 S Owyhee St, Boise, ID 83705-6014 |
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