Individual
THOMAS SHANK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2315 STOCKTON BLVD, SACRAMENTO, CA 95817-2201
(916) 734-2011
Mailing address
2315 STOCKTON BLVD, SACRAMENTO, CA 95817-2201
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
6333
CA
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
Primary
A182177
CA
Other
Enumeration date
03/24/2020
Last updated
07/03/2025
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