Individual
DR. SHANE MICHAEL SVOBODA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6130 N LA CHOLLA BLVD, TUCSON, AZ 85741-3557
(520) 219-8690
(520) 219-8694
Mailing address
6130 N LA CHOLLA BLVD, TUCSON, AZ 85741-3557
(520) 219-8690
(520) 219-8694
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
67333
AZ
208600000X
Surgery Physician
D0077538
MD
208600000X
Surgery Physician
MD202987
OR
Other
Enumeration date
04/13/2010
Last updated
05/01/2023
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