# FUSION HEALTH APC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912748252
- **Authorized official:** DR. ROBERT JOHN SHAPIRO DC (CFO)
- **Authorized official phone:** (209) 888-8602

## Contact information

- **Practice address:** 2087 GRAND CANAL BLVD STE 12, STOCKTON, CA 95207-6651
- **Practice address phone:** (209) 888-8602
- **Practice address fax:** (209) 888-8603
- **Mailing address:** 2087 GRAND CANAL BLVD STE 12, STOCKTON, CA 95207-6651
- **Mailing address phone:** (209) 888-8602
- **Mailing address fax:** (209) 888-8603

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111NS0005X | Sports Physician Chiropractor | — | NULL | — |
| 111NS0005X | Sports Physician Chiropractor | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 06/03/2024
- **Last updated:** 06/03/2024