Vincent Stephen Shallow in San Marcos - Urology

Vincent Stephen Shallow - NPI 1770783052

Vincent Stephen Shallow is a Urology in San Marcos, California. Vincent Stephen Shallow practices all healthcare services and medical treatments related to Urology. The NPI Number for Vincent Stephen Shallow is 1770783052. The last update date is 2013-08-19.

Vincent Stephen Shallow's current location address is 2095 Lynx Way, San Marcos, California. You can contact this provider via phone number 7603040226. The mailing address for Vincent Stephen Shallow is 2095 Lynx Way, San Marcos, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Vincent Stephen Shallow
Address 2095 Lynx Way, San Marcos, California
Phone Number 7603040226
Fax Number
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1770783052
Provider Enumeration Date 2007-07-24
Last Updated Date 2013-08-19

Provider Mailing Address Detail

Address 2095 Lynx Way
City San Marcos
State California (CA)
Post Code 920780905
Phone Number 7603040226
Fax Number

Provider's Primary Taxonomy Detail

Speciality Urology
Taxonomy 208800000X
Licence No 123271
Definition:
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquir

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2157538 CA MEDI-CAL

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FAQs about Vincent Stephen Shallow

What is the unique 10-digit identifier code assigned to Vincent Stephen Shallow by the Centers for Medicare & Medicaid Services?

The Vincent Stephen Shallow has been issued the NPI (National Provider Identifier) 1770783052 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete address where Vincent Stephen Shallow is physically located?

The Vincent Stephen Shallow is situated at the following address: 2095 Lynx Way, San Marcos, CA 920780905.

What is Vincent Stephen Shallow's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Vincent Stephen Shallow's specialized field of practice is Urology, and the corresponding taxonomy code that categorizes this area of specialization is 208800000X.

When was the Vincent Stephen Shallow's 1770783052 issued?

The Vincent Stephen Shallow's 1770783052 was issued on 2007-07-24.

When was the information related to Vincent Stephen Shallow most recently updated or refreshed?

The details pertaining to the Vincent Stephen Shallow, including its address, specialty, and other relevant information, were last updated or refreshed on 2013-08-19.

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