Individual
DR. SHAYNE SUMIDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8850 E PIMA CENTER PKWY, SCOTTSDALE, AZ 85258-4619
(480) 800-3900
(480) 800-3985
Mailing address
8850 E PIMA CENTER PKWY, SCOTTSDALE, AZ 85258-4619
(480) 800-3900
(480) 800-3985
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
IN-10198928
OR
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
AZ
Other
Enumeration date
04/19/2019
Last updated
07/05/2024
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