Individual
MATTHEW SHIRTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
6713 E PRINCETON AVE, FRESNO, CA 93727-1441
(408) 802-1588
Mailing address
6713 E PRINCETON AVE, FRESNO, CA 93727-1441
(408) 802-1588
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
95001400
CA
Other
Enumeration date
07/20/2020
Last updated
09/21/2020
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