Individual
DR. SHAWN DALY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
121 SOTOYOME ST, SANTA ROSA, CA 95405-4823
(707) 546-4062
(707) 525-4095
Mailing address
PO BOX 5651, ORANGE, CA 92863-5651
(714) 571-5000
(714) 571-5055
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
31066
AZ
2085R0202X
Diagnostic Radiology Physician
Primary
A86524
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
035493
—
AZ
Enumeration date
05/13/2006
Last updated
07/21/2014
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