Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Individual
DAVID IVAN SHOCKEY
Active
Individual
DAVID IVAN SHOCKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
R77382
AZ
207Q00000X
Family Medicine Physician
62975
AZ
Other
Enumeration date
04/16/2019
Last updated
05/20/2024
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