Steven R. Shackford in San Diego - Vascular Surgery

Steven R. Shackford - NPI 1144244419

Steven R. Shackford is a Vascular Surgery in San Diego, California. Steven R. Shackford practices all healthcare services and medical treatments related to Vascular Surgery. The NPI Number for Steven R. Shackford is 1144244419. The last update date is 2013-04-12.

Steven R. Shackford's current location address is 550 Washington St., San Diego, California. You can contact this provider via phone number 6192992600 and fax number 6192993923. The mailing address for Steven R. Shackford is 550 Washington St., San Diego, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Steven R. Shackford
Address 550 Washington St., San Diego, California
Phone Number 6192992600
Fax Number 6192993923
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1144244419
Provider Enumeration Date 2006-07-27
Last Updated Date 2013-04-12

Provider Mailing Address Detail

Address 550 Washington St.
City San Diego
State California (CA)
Post Code 921032229
Phone Number 6192992600
Fax Number 6192993923

Provider's Primary Taxonomy Detail

Speciality Vascular Surgery
Taxonomy 2086S0129X
Licence No G29279
Definition:
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

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FAQs about Steven R. Shackford

What is the unique 10-digit identification code assigned to Steven R. Shackford by the Centers for Medicare & Medicaid Services?

The Steven R. Shackford has been issued the NPI (National Provider Identifier) 1144244419, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Steven R. Shackford?

The Steven R. Shackford is situated at 550 Washington St., in the city of San Diego, state of CA, with the zip code 921032229.

What is Steven R. Shackford's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Steven R. Shackford is Vascular Surgery, and the taxonomy classification code that categorizes this area of expertise is 2086S0129X.

On what date did Steven R. Shackford receive its 1144244419 assignment from the Centers for Medicare & Medicaid Services?

The Steven R. Shackford was assigned its 1144244419 on 2006-07-27, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information related to Steven R. Shackford most recently updated or refreshed?

The details pertaining to the Steven R. Shackford, including its address, specialty, and other relevant information, were last updated or refreshed on 2013-04-12.

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