Individual
DR. BRENDA M. SHANK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD, PHD
Contact information
Practice address
2000 VALE RD, DOCTORS MEDICAL CENTER, SAN PABLO, CA 94806-3808
(510) 970-5667
(510) 970-5743
Mailing address
2000 VALE RD, DOCTORS MEDICAL CENTER, SAN PABLO, CA 94806-3808
(510) 970-5667
(510) 970-5743
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
G44045
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G440450
—
CA
Enumeration date
01/12/2007
Last updated
10/02/2007
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