IndividualActive
Glen Shapiro, MD
NPI 1336283779 · Orthopaedic Surgery Physician · Hailey, ID
Provider details
- NPI number
- 1336283779
- Entity type
- Individual
- Primary specialty
- Orthopaedic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- M9172 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
513 N Main St
Hailey, ID 83333
Phone: (877) 754-6330
Fax: (877) 993-1515
Approximate (ZIP-level) locationGet directions
Mailing address
1420 N 2nd Ave
Hailey, ID 83333
Registry dates
- Enumerated
- 2007-02-19
- Last updated
- 2012-05-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.