James Ryan Shackelford MD

NPI 1639217359 - Psychiatry & Neurology - 2084P0800X

NPI Details
NPI 1639217359
Gender Male
Enumeration Date 02/02/2007
Last Updated 08/01/2012
Entity Type Individual
Active Over 9 years ago
Practice Location
1301 PIERCE ST
SAN FRANCISCO CA, 94115-4005, US
Phone (415) 292-1300
Fax
Business Location
142 SEQUOYAH VIEW DR
OAKLAND CA, 94605-4909, US
Phone
Fax
Toxanomy
Taxonomy Code 2084P0800X
License State California
License Number NONE
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According to our database, Dr. James Ryan Shackelford MD NPI is 1639217359, taxonomy code is 2084P0800X and license number is NONE, license state is located at California. James Ryan Shackelford MD physically located at 1301 Pierce St, San Francisco CA, 94115-4005. NPI Number James Ryan Shackelford MD has the Individual type.

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1639217359 NPI number is provided on an as is basis without warranty of any kind. 1639217359 is maintained by the National Plan & Provider Enumeration System. The contents of James Ryan Shackelford MD are for informational purposes only.