Individual
DR. RAYMOND FRANK SHAMOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
500 W THOMAS RD, SUITE 400, PHOENIX, AZ 85013-4224
(602) 266-4493
(602) 264-1577
Mailing address
500 W THOMAS RD, SUITE 400, PHOENIX, AZ 85013-4224
(602) 266-4493
(602) 264-1577
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
13612
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
233669-01
AHCCHS PROVIDER
—
Enumeration date
01/11/2006
Last updated
07/15/2019
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