Individual
DR. JOEL A SHOCKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1906 BLAKE AVE, GLENWOOD SPRINGS, CO 81601-4227
(970) 447-4065
Mailing address
1331 N ELM ST STE 200, GREENSBORO, NC 27401-6304
(336) 274-9617
(336) 482-2177
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
35-07-69147-S
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2335968
—
OH
Enumeration date
02/23/2006
Last updated
04/24/2022
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