Individual
DR. SHAWN CLARK EMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3172 COLLINS DR STE B, MERCED, CA 95348-3131
(209) 723-4551
(209) 723-0141
Mailing address
PO BOX 576768, MODESTO, CA 95357-6768
(209) 723-4551
(209) 723-0141
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
11379
NV
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
A77415
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A774150
—
CA
05
—
201672000
—
NV
01
—
XPY068120
MEDICAL
NV
Enumeration date
05/31/2005
Last updated
07/21/2022
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