Individual
JACOB MOSS SHANER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
PO BOX 245043, TUCSON, AZ 85724-5043
(520) 626-5669
Mailing address
7185 S PASEO MONTE DE ORO, TUCSON, AZ 85756-8368
(208) 473-1097
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
R81861
AZ
Other
Enumeration date
05/28/2025
Last updated
05/28/2025
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