Individual
DANIEL SHIBUYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 WALTER ST NE, STE 401, ALBUQUERQUE, NM 87102-2563
(505) 727-5910
(505) 727-5939
Mailing address
500 WALTER ST NE, STE 401, ALBUQUERQUE, NM 87102-2563
(505) 727-5910
(505) 727-5939
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
95-345
NM
2084N0400X
Neurology Physician
Primary
95-345
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000E9308
—
NM
Enumeration date
09/16/2006
Last updated
04/19/2017
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