Individual
DEAN J SHANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
10500 MONTGOMERY RD, CINCINNATI, OH 45242-4402
(513) 965-8041
(513) 965-8091
Mailing address
PO BOX 42468, CINCINNATI, OH 45242-0468
(513) 965-8041
(513) 965-8091
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
34006862S
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2085989
—
OH
05
—
64960313
—
KY
Enumeration date
07/18/2005
Last updated
02/21/2008
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