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THOMAS SHELLENBERGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2946 E BANNER GATEWAY DR, #450, GILBERT, AZ 85234-2165
(480) 256-6444
(480) 256-4734
Mailing address
2940 E. BANNER GATEWAY DRIVE, SUITE #450, GILBERT, AZ 85234-2165
(480) 256-6444
(480) 256-4734

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
46704
AZ
2086X0206X
Surgical Oncology Physician
Primary
46704
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
275021000
FL
Enumeration date
04/06/2006
Last updated
03/16/2015
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