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Individual

STEVEN K SHOEMAKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
1421 SECRET RAVINE PKWY, SUITE 111, ROSEVILLE, CA 95661-6045
(916) 781-3223
(916) 781-3019
Mailing address
4120 DOUGLAS BLVD, #306 -165, GRANITE BAY, CA 95746-5936
(916) 781-3223
(916) 781-3019

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E3540
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P00293318
RAIL ROAD MEDICARE INDIVIDUAL PROVIDER #
CA
Enumeration date
01/15/2008
Last updated
07/22/2014
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