Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANA L TUBACH, MD
ActiveSHANA L TUBACH, MD is a Pediatrics healthcare provider located in BOISE, Idaho. NPI 1205879483 is currently active in the NPPES registry. Verify at CMS.
Pediatrics · BOISE, ID
Registration Details
- NPI Number
- 1205879483
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 14, 2006 (20.195012715964 yrs)
- Last Updated
- Nov 10, 2016
- Licenses
-
M8077 (ID)M-8077 (ID)
Practice Information
- Address
-
1072 N LIBERTY STSUITE 203BOISE, ID, 837048708Browse ID providers · Browse ZIP 83704
- Phone
- 2083025800
- Fax
- 2083025855
- Primary Specialty
-
Pediatrics
208000000X
- Additional Specialty
- Pediatrics
Other Pediatrics Providers in BOISE, ID
| Name | Credential | NPI |
|---|---|---|
| DR. VELMA SUSAN BRADFORD | M.D. | 1629070636 |
| MR. GREGORY G JANOS | MD | 1336133776 |
| MR. WILLIAM SULLIVAN BOURQUARD | MD | 1568451193 |
| MRS. CATHY DIANE SANDSTROM | MD | 1215926845 |
| DR. KATHERINE S STEVENS | MD | 1124017462 |
| MR. THOMAS S PATTERSON | M.D. | 1467442467 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.