Courtney Shockley MD

NPI 1558656314 - Pediatrics - 208000000X

NPI Details
NPI 1558656314
Gender Female
Enumeration Date 06/09/2011
Last Updated 08/19/2015
Entity Type Individual
Active Over 5 years ago
Practice Location
620 W 1ST ST
WAPATO WA, 98951-1108, US
Phone (509) 877-4111
Fax (509) 877-7349
Business Location
PO BOX 190
TOPPENISH WA, 98948-0190, US
Phone (509) 868-2395
Fax
Toxanomy
Taxonomy Code 208000000X
License State Oklahoma
License Number 28683
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According to our database, Courtney Shockley MD NPI is 1558656314, taxonomy code is 208000000X and license number is 28683, license state is located at Oklahoma. Courtney Shockley MD physically located at 620 W 1st St, Wapato WA, 98951-1108. NPI Number Courtney Shockley MD has the Individual type.

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1558656314 NPI number is provided on an as is basis without warranty of any kind. 1558656314 is maintained by the National Plan & Provider Enumeration System. The contents of Courtney Shockley MD are for informational purposes only.