Dr SHANNON L GARDINER PA is a female medical professional, specializing in Physician Assistant. She graduated in 2002.
SOUTHERN IDAHO HEALTH PARTNERS LLC
215 E HAWAII AVE
NAMPA
ID
836866011
Tel: 2084633000
| Npi | 1689701260 |
| Pac Id | 2264481571 |
| Professional Enrollment Id | I20050113000517 |
| Last Name | GARDINER |
| First Name | SHANNON |
| Middle Name | L |
| Suffix | |
| Gender | F |
| Credential | PA |
| Medical School Name | OTHER |
| Graduation Year | 2002 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | SOUTHERN IDAHO HEALTH PARTNERS LLC |
| Group Practice Pac Id | 5395063564 |
| Number Of Group Practice Members | 55 |
| Line 1 Street Address | 215 E HAWAII AVE |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | NAMPA |
| State | ID |
| Zip Code | 836866011 |
| Phone Number | 2084633000 |
| Hospital Affiliation Ccn 1 | 130071 |
| Hospital Affiliation Lbn 1 | ST LUKE'S NAMPA MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | 130006 |
| Hospital Affiliation Lbn 2 | ST LUKE'S REGIONAL MEDICAL CENTER |
| Hospital Affiliation Ccn 3 | 130013 |
| Hospital Affiliation Lbn 3 | SAINT ALPHONSUS MEDICAL CENTER - NAMPA |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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