Individual
DR. JAMES LYMAN SHIVELY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
747 52ND ST, OAKLAND, CA 94609-1809
(510) 428-3000
Mailing address
747-FIFTY SECOND STREET, CHILDREN'S HOSPITAL, OAKLAND, CA 94609-1809
(510) 428-3000
Taxonomy
Speciality
Code
Description
License number
State
207XP3100X
Pediatric Orthopaedic Surgery Physician
Primary
G28828
CA
207XX0801X
Orthopaedic Trauma Physician
G28828
CA
Other
Enumeration date
02/28/2011
Last updated
09/05/2013
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