Individual
DAVID PAUL SHIBATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
42201 N 41ST DR, SUITE 144, ANTHEM, AZ 85086
(623) 551-9122
(623) 551-9120
Mailing address
42201 N 41ST DR, SUITE 144, ANTHEM, AZ 85086
(623) 551-9122
(623) 551-9120
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1174
AZ
Other
Enumeration date
09/20/2006
Last updated
09/07/2011
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