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Individual

DR. JONAH DANIEL SHULL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
500 W FOSTER RD, SANTA MARIA, CA 93455-3620
(805) 934-6385
(805) 934-6525
Mailing address
933 BLUEBELL WAY, SAN LUIS OBISPO, CA 93401-7660
(805) 779-0133
(000) 000-0000

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A121604
CA
2084P0804X
Child & Adolescent Psychiatry Physician
A121604
CA

Other

Enumeration date
03/16/2007
Last updated
04/16/2020
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