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Individual
PAUL RICHARD SHONKA
Active
Individual
PAUL RICHARD SHONKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E2738
CA
213ES0103X
Foot & Ankle Surgery Podiatrist
E2738
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000E27380
BLUE SHIELD OF CALIFORNIA
CA
05
—
000E27380
—
CA
01
—
480029370
RAILROAD MEDICARE
CA
Enumeration date
07/13/2005
Last updated
02/07/2012
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