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Organization

BAYSHORE MEDICAL GROUP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RYAN SHAKLEY DC (OWNER)
(410) 251-8572
Entity
Organization

Contact information

Practice address
185 HARRY S TRUMAN PKWY STE 100, ANNAPOLIS, MD 21401-7580
(410) 263-4171
(410) 263-4275
Mailing address
185 HARRY S TRUMAN PKWY STE 100, ANNAPOLIS, MD 21401-7580
(410) 263-4171
(410) 263-4275

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary

Other

Enumeration date
03/14/2022
Last updated
03/06/2024
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