Individual
DR. JONATHAN SCOTT SHAKESPEAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5444 S. GREEN ST., MURRAY, UT 84123-5632
(801) 262-8120
(801) 262-3897
Mailing address
5444 S. GREEN ST., MURRAY, UT 84123-5632
(801) 262-8120
(801) 262-3897
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
4301096633
MI
2085R0202X
Diagnostic Radiology Physician
Primary
6351781-1205
UT
2085R0202X
Diagnostic Radiology Physician
M-11422
ID
Other
Enumeration date
09/03/2008
Last updated
08/30/2012
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