Individual
DR. SCOTT SHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
FORT DEFIANCE PHS HOSPITAL, CORNER OF ROUTE N12 & N7, FORT DEFIANCE, AZ 86504
(928) 729-8770
Mailing address
2559 MEDICAL DR, STE D, ALAMOGORDO, NM 88310-8704
(575) 434-2229
(575) 439-5705
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
3715
AZ
207V00000X
Obstetrics & Gynecology Physician
Primary
A-2192-18
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
54834864
—
NM
05
—
640921
—
AZ
Enumeration date
11/08/2006
Last updated
10/19/2018
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