Individual
JEFFERY D. SHAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
GUAM MEDICAL PLAZA, STE. 210, 633 GOV. CAMACHO RD, TAMUNING, GU 96913
(671) 649-1001
(671) 649-1002
Mailing address
GUAM MEDICAL PLAZA, STE. 210, 633 GOV. CARLOS CAMACHO RD, TAMUNING, GU 96913
(671) 649-1001
(671) 649-1002
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
M-1885
GU
2085R0204X
Vascular & Interventional Radiology Physician
ME83145
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
262972100
—
FL
Enumeration date
07/29/2005
Last updated
10/17/2016
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