Individual
DALLAS R SHECKLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
8208 LOUISIANA BLVD NE, STE C, ALBUQUERQUE, NM 87113-1757
(505) 858-1222
(505) 858-1224
Mailing address
2510 W DUNLAP AVE, STE 290, PHOENIX, AZ 85021-2737
(602) 789-0344
(602) 789-8389
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
673
AK
363A00000X
Physician Assistant
Primary
99-PA24
NM
Other
Enumeration date
08/26/2005
Last updated
08/11/2016
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