Individual
WILLIAM L SHANKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
516 EAST NIZHONI BLVD., GALLUP, NM 87301
(505) 722-1000
(505) 722-1650
Mailing address
P.O. BOX 1337, GALLUP, NM 87305-1337
(505) 722-1000
(505) 722-1650
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD4187
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34676333
—
CO
05
—
53676076
—
NM
05
—
890964
—
AZ
Enumeration date
06/07/2006
Last updated
07/07/2010
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