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Individual

PAUL YOUNG SHONNARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
10635 PROFESSIONAL CIR STE A, RENO, NV 89521-5836
(775) 852-0505
(775) 852-0508
Mailing address
10635 PROFESSIONAL CIR STE A, RENO, NV 89521-5836
(775) 852-0505
(775) 852-0508

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
7756
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
20-16595
NV
01
XPY186986
MEDI-CAL PIN #
CA
Enumeration date
11/11/2005
Last updated
11/12/2010
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