Organization
NORTHERN CALIFORNIA SURGICAL ASSOCIATES, INC.
Active
Other names
Benjamin D. Shadle, MD, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN DEAN SHADLE MD (PRESIDENT)
(916) 688-7000
Entity
Organization
Contact information
Practice address
8120 TIMBERLAKE WAY, SUITE 109, SACRAMENTO, CA 95823-5412
(916) 688-7000
(916) 688-7005
Mailing address
8120 TIMBERLAKE WAY, SUITE 109, SACRAMENTO, CA 95823-5412
(916) 688-7000
(916) 688-7005
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A99595
CA
Other
Enumeration date
07/18/2011
Last updated
05/08/2012
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