Individual
DR. DALLAS SHONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
0101051162
VA
207RG0100X
Gastroenterology Physician
Primary
MD25581
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006011527
—
VA
05
—
1513713
—
TN
05
—
3084190
—
TN
05
—
6011527
—
VA
Enumeration date
05/23/2005
Last updated
01/07/2014
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