Vincent Stephen Shallow MD

NPI 1770783052 - Urology - 208800000X

NPI Details
NPI 1770783052
Gender Male
Enumeration Date 07/24/2007
Last Updated 08/19/2013
Entity Type Individual
Active Over 9 years ago
Practice Location
2095 LYNX WAY
SAN MARCOS CA, 92078-0905, US
Phone (760) 304-0226
Fax
Business Location
2095 LYNX WAY
SAN MARCOS CA, 92078-0905, US
Phone (760) 304-0226
Fax
Toxanomy
Taxonomy Code 208800000X
License State New York
License Number 123271
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According to our database, Dr. Vincent Stephen Shallow MD NPI is 1770783052, taxonomy code is 208800000X and license number is 123271, license state is located at New York. Vincent Stephen Shallow MD physically located at 2095 Lynx Way, San Marcos CA, 92078-0905. NPI Number Vincent Stephen Shallow MD has the Individual type.

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1770783052 NPI number is provided on an as is basis without warranty of any kind. 1770783052 is maintained by the National Plan & Provider Enumeration System. The contents of Vincent Stephen Shallow MD are for informational purposes only.