IndividualActive
Christian Shull, M.D.
NPI 1396899134 · Hematology & Oncology Physician · Idaho Falls, ID
Provider details
- NPI number
- 1396899134
- Entity type
- Individual
- Primary specialty
- Hematology & Oncology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- M8794 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
2330 Desoto St
Idaho Falls, ID 83404-7570
Phone: (208) 523-1100
Fax: (208) 523-1317
Approximate (ZIP-level) locationGet directions
Mailing address
2330 Desoto St
Idaho Falls, ID 83404-7570
Registry dates
- Enumerated
- 2007-01-22
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.