Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SHANE GARY MACHEN, D.O.
ActiveDR. SHANE GARY MACHEN, D.O. is a Family Medicine healthcare provider located in IDAHO FALLS, Idaho. NPI 1932330370 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · IDAHO FALLS, ID
Registration Details
- NPI Number
- 1932330370
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 3, 2009 (17.023147549361 yrs)
- Last Updated
- Dec 28, 2011
- License
-
O-0611 (ID)
Practice Information
- Address
-
1995 E 17TH STIDAHO FALLS, ID, 834046493Browse ID providers · Browse ZIP 83404
- Phone
- 2085227666
- Fax
- 2085242821
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in IDAHO FALLS, ID
| Name | Credential | NPI |
|---|---|---|
| DR. ERIC W. PERTTULA | M.D. | 1710988894 |
| DR. LARAMIE L. WHEELER | D.O. | 1801889456 |
| WALLACE C BAKER | M.D. | 1083696967 |
| DR. JULIAN DE BRUYN KOPS III | MD | 1922086552 |
| JUDY LEE JONES | MD | 1295707099 |
| BRAD C ERIKSON | DO | 1164477931 |
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.