Individual
DR. SHELBY MACKINTOSH ALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
10535 HOSPITAL WAY, MATHER, CA 95655-4200
(916) 843-7151
Mailing address
10535 HOSPITAL WAY, MATHER, CA 95655-4200
(231) 330-4114
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E5181
CA
213ES0103X
Foot & Ankle Surgery Podiatrist
T-1239
NM
Other
Enumeration date
07/02/2012
Last updated
08/07/2020
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