Individual
SCOTT L SHOEMAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
17150 EUCLID ST, STE 320, FOUNTAIN VALLEY, CA 92708
(714) 432-1321
(714) 434-1890
Mailing address
17150 EUCLID ST, STE 320, FOUNTAIN VALLEY, CA 92708
(714) 432-1321
(714) 434-1890
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
G71964
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G719640
BLUE SHIELD
CA
Enumeration date
06/03/2006
Last updated
07/08/2007
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