Individual
JOHN BRADLEY SHINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
751 S BASCOM AVE, ENT CLINIC, SAN JOSE, CA 95128-2604
(408) 885-6767
Mailing address
751 S BASCOM AVE, SAN JOSE, CA 95128-2604
(408) 885-5000
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
C29379
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C293790
—
CA
Enumeration date
09/14/2006
Last updated
02/27/2012
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