Individual
DR. JESSE ALAN SHANTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., M.B.A.
Contact information
Practice address
2550 23RD ST, BUILDING 9, 2ND FLOOR, SAN FRANCISCO, CA 94110-3504
(415) 206-8812
(415) 647-3733
Mailing address
580 MISSISSIPPI ST, SAN FRANCISCO, CA 94107-2935
(415) 852-2127
(415) 647-3733
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
A119543
CA
Other
Enumeration date
01/03/2012
Last updated
01/03/2012
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