Individual
DR. JON D SHANSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
900 HYDE ST, SAN FRANCISCO, CA 94109-4806
(415) 353-6390
(415) 353-6396
Mailing address
PO BOX 6102, NOVATO, CA 94948-6102
(415) 884-3404
(415) 883-1836
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
G19161
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G191610
—
CA
01
—
300062394
RAILROAD MEDICARE PIN
—
Enumeration date
06/03/2006
Last updated
07/27/2009
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