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SHAUNA T. WILLIAMS, M.D., P.A.

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Company Details

Name: SHAUNA T. WILLIAMS, M.D., P.A.
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Inactive-Dissolved (Administrative)
Date of registration: 08 Jan 1993 (33 years ago)
Financial Date End: 31 Jan 2018
Date dissolved: 30 Apr 2018
Entity Number: 311315
Place of Formation: IDAHO
File Number: 0000311315
ZIP code: 83704
County: Ada County
Mailing Address: 1072 N. LIBERTY ST. SUITE 201 BOISE, ID 83704

National Provider Identifier

NPI Number:
1669443420

Authorized Person:

Name:
SHAUNA T WILLIAMS
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
208600000X - Surgery Physician
Is Primary:
Yes

Contacts:

Fax:
2083673059

Filing

Filing Name Filing Number Filing date
Annual Report 0002291841 2017-02-03
Annual Report 0002291840 2015-11-28
Annual Report 0002291839 2015-01-05
Annual Report 0002291838 2013-11-20
Annual Report 0002291837 2012-11-13

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Date of last update: 24 Sep 2024

Sources: Idaho Secretary of State