Individual
DR. PETER C. SHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
MSC 10 5615, 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131-0001
(505) 272-3401
(505) 272-6091
Mailing address
800 BRADBURY DR SE STE 116, ALBUQUERQUE, NM 87106-4310
(505) 272-1476
(505) 272-6901
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
MD00040264
WA
207T00000X
Neurological Surgery Physician
Primary
MD2013-0879
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0150866
L&I NUMBER
WA
Enumeration date
12/12/2006
Last updated
10/23/2024
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