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Individual
DR. STEPHANIE SHINN GAYDOS
Active
Individual
DR. STEPHANIE SHINN GAYDOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
LL34752
SC
207RA0002X
Adult Congenital Heart Disease Physician
Primary
34752
SC
208000000X
Pediatrics Physician
LL34752
SC
Other
Enumeration date
06/15/2012
Last updated
08/18/2021
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