Individual
DAVID IVAN SHOCKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2310 E BROWN RD, MESA, AZ 85213-5226
(480) 649-9000
Mailing address
2310 E BROWN RD, MESA, AZ 85213-5226
(480) 649-9000
(480) 248-9213
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
R77382
AZ
207Q00000X
Family Medicine Physician
62975
AZ
Other
Enumeration date
04/16/2019
Last updated
05/20/2024
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