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Individual

JONATHAN SHAPIRO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
3551 ROGER BROOKE DR, SAN ANTONIO MILITARY MEDICAL CENTER, DEPT PEDIATRICS, SAN ANTONIO, TX 78219
(210) 916-7078
Mailing address
3551 ROGER BROOKE DR, SAN ANTONIO MILITARY MEDICAL CENTER, DEPT PEDIATRICS, SAN ANTONIO, TX 78219

Taxonomy

Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
0101241623
VA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/14/2007
Last updated
04/26/2016
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