Dr SHANE G MACHEN is a male medical professional, specializing in Family Medicine. He graduated in 2011 from University Of Health Sciences/chicago Medical School.
3500 POTOMAC WAY
SUITE 100
IDAHO FALLS
ID
834044977
Tel:
| Npi | 1932330370 |
| Pac Id | 0244410462 |
| Professional Enrollment Id | I20110831000471 |
| Last Name | MACHEN |
| First Name | SHANE |
| Middle Name | G |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | UNIVERSITY OF HEALTH SCIENCES/CHICAGO MEDICAL SCHOOL |
| Graduation Year | 2011 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialty 1 | OSTEOPATHIC MANIPULATIVE MEDICINE |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | OSTEOPATHIC MANIPULATIVE MEDICINE |
| Organization Legal Name | |
| Group Practice Pac Id | |
| Number Of Group Practice Members | |
| Line 1 Street Address | 3500 POTOMAC WAY |
| Line 2 Street Address | SUITE 100 |
| Marker Of Address Line 2 Suppression | |
| City | IDAHO FALLS |
| State | ID |
| Zip Code | 834044977 |
| Phone Number | |
| Hospital Affiliation Ccn 1 | 130018 |
| Hospital Affiliation Lbn 1 | EASTERN IDAHO REGIONAL MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | 130065 |
| Hospital Affiliation Lbn 2 | MOUNTAIN VIEW HOSPITAL |
| Hospital Affiliation Ccn 3 | 130007 |
| Hospital Affiliation Lbn 3 | SAINT ALPHONSUS REGIONAL MEDICAL CENTER |
| 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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