Individual
SHELBY DOADES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
750 BROADWAY STE 350, FORT WAYNE, IN 46802-1412
(260) 423-2675
(260) 423-6621
Mailing address
750 BROADWAY STE 350, FORT WAYNE, IN 46802-1412
(260) 423-2675
(260) 423-6621
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11023217A
IN
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/11/2016
Last updated
04/03/2024
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