Individual
THOMAS M SHACKLEFORD
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3333 BURNET AVE, ML 2001, CINCINNATI, OH 45229
(513) 636-4408
(513) 636-7337
Mailing address
3333 BURNET AVE, ML 5021, CINCINNATI, OH 45220
(513) 636-4225
(513) 636-2511
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
34.008285
OH
Other
Enumeration date
05/03/2006
Last updated
07/08/2007
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