Maralee Shadle in Fontana - Physician Assistant
Maralee Shadle - NPI 1013065903
Maralee Shadle is a Physician Assistant in Fontana, California. Maralee Shadle practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Maralee Shadle is 1013065903. The last update date is 2021-11-29.
Maralee Shadle's current location address is 9961 Sierra Ave, Fontana, California. You can contact this provider via phone number 9094273910. The mailing address for Maralee Shadle is 9961 Sierra Ave, Fontana, California. To know further, please read the information below!
Provider Profile Detail
Provider Name | Maralee Shadle |
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Address | 9961 Sierra Ave, Fontana, California |
Phone Number | 9094273910 |
Fax Number | |
Sole Proprietor | N |
Credentials | PA |
NPI Number Detail
NPI Number | 1013065903 |
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Provider Enumeration Date | 2007-01-08 |
Last Updated Date | 2021-11-29 |
Provider Mailing Address Detail
Address | 9961 Sierra Ave |
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City | Fontana |
State | California (CA) |
Post Code | 923356720 |
Phone Number | 9094273910 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Physician Assistant |
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Taxonomy | 363A00000X |
Licence No | PA13768 |
Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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What is the unique identifier code issued to Maralee Shadle by the Centers for Medicare & Medicaid Services?
The Maralee Shadle has been assigned the NPI (National Provider Identifier) 1013065903. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Maralee Shadle's physical address?
The Maralee Shadle is physically located at 9961 Sierra Ave, in the city of Fontana, CA, with the postal code 923356720.
What is the area of specialization for Maralee Shadle, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Maralee Shadle is Physician Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1013065903 to Maralee Shadle?
The Centers for Medicare & Medicaid Services originally issued the 1013065903 to Maralee Shadle on 2007-01-08.
As of what date were the details related to Maralee Shadle most recently updated or revised?
The information pertaining to Maralee Shadle, including its address, specialty, and other relevant details, was last updated or revised on 2021-11-29.