Theodore G Shultz M.D.

NPI 1053428805 - Internal Medicine - 207RP1001X

NPI Details
NPI 1053428805
Gender Male
Enumeration Date 08/25/2006
Last Updated 11/02/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
801 MISSION ST SE
SALEM OR, 97302-6217, US
Phone (503) 588-3945
Fax (503) 588-0256
Business Location
801 MISSION ST SE
SALEM OR, 97302-6217, US
Phone (503) 588-3945
Fax (503) 588-0256
Toxanomy
Taxonomy Code 207RP1001X
License State Oregon
License Number MD11607
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According to our database, Dr. Theodore G Shultz M.D. NPI is 1053428805, taxonomy code is 207RP1001X and license number is MD11607, license state is located at Oregon. Theodore G Shultz M.D. physically located at 801 Mission St Se, Salem OR, 97302-6217. NPI Number Theodore G Shultz M.D. has the Individual type.

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1053428805 NPI number is provided on an as is basis without warranty of any kind. 1053428805 is maintained by the National Plan & Provider Enumeration System. The contents of Theodore G Shultz M.D. are for informational purposes only.