Individual
DR. SHIELDS BREWSTER ABERNATHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1050 LAS TABLAS RD, SUITE 3, TEMPLETON, CA 93465-9729
(805) 434-1000
(805) 434-3265
Mailing address
1050 LAS TABLAS RD, SUITE 3, TEMPLETON, CA 93465-9729
(805) 434-1000
(805) 434-3265
Taxonomy
Speciality
Code
Description
License number
State
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
Primary
G42752
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G427520
—
CA
01
—
77-0049521
FEIN NUMBER
—
Enumeration date
07/19/2006
Last updated
03/21/2017
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