Shane Michael Svoboda M.D.

NPI 1083930275 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1083930275
Gender Male
Enumeration Date 04/13/2010
Last Updated 04/13/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
1 GUSTAVE L LEVY PL
BOX 1259
NEW YORK NY, 10029-6500, US
Phone (212) 241-6591
Fax
Business Location
11809 OKEEFE CREEK BLVD
MISSOULA MT, 59808-8514, US
Phone (406) 370-7391
Fax
Toxanomy
Taxonomy Code 390200000X
License State
License Number
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According to our database, Dr. Shane Michael Svoboda M.D. NPI is 1083930275, taxonomy code is 390200000X Shane Michael Svoboda M.D. physically located at 1 Gustave L Levy Pl, New York NY, 10029-6500. NPI Number Shane Michael Svoboda M.D. has the Individual type.

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1083930275 NPI number is provided on an as is basis without warranty of any kind. 1083930275 is maintained by the National Plan & Provider Enumeration System. The contents of Shane Michael Svoboda M.D. are for informational purposes only.