Stacy Ann Shackelford in Usaf Academy - Surgery
Stacy Ann Shackelford - NPI 1215925672
Stacy Ann Shackelford is a Surgery in Usaf Academy, Colorado. Stacy Ann Shackelford practices all healthcare services and medical treatments related to Surgery. The NPI Number for Stacy Ann Shackelford is 1215925672. The last update date is 2023-10-30.
Stacy Ann Shackelford's current location address is 4102 Pinion Dr, Usaf Academy, Colorado. You can contact this provider via phone number 7193335140. The mailing address for Stacy Ann Shackelford is 4102 Pinion Dr, Usaf Academy, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stacy Ann Shackelford |
|---|---|
| Address | 4102 Pinion Dr, Usaf Academy, Colorado |
| Phone Number | 7193335140 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1215925672 |
|---|---|
| Provider Enumeration Date | 2005-10-11 |
| Last Updated Date | 2023-10-30 |
Provider Mailing Address Detail
| Address | 4102 Pinion Dr |
|---|---|
| City | Usaf Academy |
| State | Colorado (CO) |
| Post Code | 808402502 |
| Phone Number | 7193335140 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | 280123-1205 |
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Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 441150100 | MD | -- |
Post Comment/ Review Below
What is the Stacy Ann Shackelford's unique identification number?
The Stacy Ann Shackelford has been assigned the NPI (National Provider Identifier) Number 1215925672 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Stacy Ann Shackelford?
The Stacy Ann Shackelford is situated at 4102 Pinion Dr, in the city of Usaf Academy, state of CO, with the zip code 808402502.
What is Stacy Ann Shackelford's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Stacy Ann Shackelford is Surgery, and the taxonomy code that categorizes this field of expertise is 208600000X.
When did the Stacy Ann Shackelford receive its 1215925672?
The Stacy Ann Shackelford was issued its 1215925672 on 2005-10-11, which is the date when the organization was assigned this unique identifier.
When was the information related to Stacy Ann Shackelford most recently updated or refreshed?
The details pertaining to the Stacy Ann Shackelford, including its address, specialty, and other relevant information, were last updated or refreshed on 2023-10-30.