Individual
TERRY SHIAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
1500 S CENTRAL AVE STE 200, SUITE 200, GLENDALE, CA 91204-3853
(818) 291-4010
(818) 291-4058
Mailing address
1500 S CENTRAL AVE STE 200, SUITE 200, GLENDALE, CA 91204-3853
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E4837
CA
213ES0103X
Foot & Ankle Surgery Podiatrist
EL1711
CA
Other
Enumeration date
11/02/2007
Last updated
10/02/2012
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