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Organization
SHEA ORTHOPEDIC AND SPORTS MEDICINE PC
Active
Organization
SHEA ORTHOPEDIC AND SPORTS MEDICINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL A SHEA MD (OWNER)
(916) 984-4500
Entity
Organization
Contact information
Practice address
1580 CREEKSIDE DRIVE, FOLSOM, CA 95630
(916) 984-4500
(915) 984-4502
Mailing address
1580 CREEKSIDE DRIVE, FOLSOM, CA 95630
(916) 984-4500
(915) 984-4502
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
—
NULL
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
NULL
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
—
Other
Enumeration date
07/11/2022
Last updated
07/13/2022
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