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Organization

SHAD MISSELDINE, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SHAD STEVEN MISSELDINE MD (PHYSICIAN)
(602) 312-0855
Entity
Organization

Contact information

Practice address
7600 N 15TH ST STE 290, PHOENIX, AZ 85020-4336
(602) 312-0855
Mailing address
7600 N 15TH ST STE 290, PHOENIX, AZ 85020-4336
(602) 312-0855

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
43059
AZ

Other

Enumeration date
05/15/2013
Last updated
04/21/2023
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