Individual
DR. JAMES RYAN SHACKELFORD
Active
Individual
DR. JAMES RYAN SHACKELFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
NONE
CA
2084P0800X
Psychiatry Physician
Primary
M-13301
ID
2084P0800X
Psychiatry Physician
NONE
CA
Other
Enumeration date
02/02/2007
Last updated
12/20/2023
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