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Individual
SHANE SELASSIE ANDERSON
Active
Individual
SHANE SELASSIE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD PHD
Taxonomy
Speciality
Code
Description
License number
State
207ZD0900X
Dermatopathology (Pathology) Physician
MD00039332
WA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
79786
AZ
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MD00039332
WA
Other
Enumeration date
11/18/2005
Last updated
02/26/2026
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