Individual
MITCHELL D SHUB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1919 E THOMAS RD, PHOENIX, AZ 85016-7710
(602) 933-0940
(602) 933-2424
Mailing address
3200 E CAMELBACK RD STE 250, PHOENIX, AZ 85018-2327
(602) 933-1814
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
15522
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
259144
—
AZ
Enumeration date
03/28/2006
Last updated
02/08/2018
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