Individual
SHANLEY BESETT DEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
33501 1ST WAY S, FEDERAL WAY, WA 98003-6208
(253) 838-2400
(253) 874-1637
Mailing address
33501 1ST WAY S, FEDERAL WAY, WA 98003-6208
(253) 838-2400
(253) 874-1637
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
72449
WI
208600000X
Surgery Physician
Primary
MD60657714
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1811307879
—
WI
Enumeration date
04/30/2014
Last updated
10/05/2021
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