Organization
SHAD MISSELDINE, INC.
Active
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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