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Individual

DR. PERRY MICHAEL SHOOR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1303 SAN CARLOS AVE, SAN CARLOS, CA 94070-2317
(650) 593-0965
(650) 593-2379
Mailing address
80 SUTHERLAND DR, ATHERTON, CA 94027-6430
(650) 854-3578
(650) 854-3643

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
G24044
CA
2086S0129X
Vascular Surgery Physician
Primary
G24044
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
CP2153
RAILROAD MEDICARE
CA
Enumeration date
07/27/2006
Last updated
12/03/2008
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