Individual
MR. ROBERT ALAN SHULL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
CCC-A
Contact information
Practice address
4881 SUGAR MAPLE DR, 88 MDG/SGCXL, WRIGHT PATTERSON AFB, OH 45433-5546
(937) 257-9280
Mailing address
10212 CHERRY TREE TER, CENTERVILLE, OH 45458-9432
(937) 885-0491
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
186
OK
Other
Enumeration date
10/12/2005
Last updated
07/08/2007
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