Individual
JEFFREY SHIJE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2423 W DUNLAP AVE STE 175, PHOENIX, AZ 85021-5823
(602) 424-4450
Mailing address
2423 W DUNLAP AVE STE 175, PHOENIX, AZ 85021-5823
(602) 424-4450
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
0101272757
VA
2084N0400X
Neurology Physician
Primary
50712
AZ
2084N0400X
Neurology Physician
MD2023-0521
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50712
AZ LICENSE
AZ
Enumeration date
04/23/2011
Last updated
07/05/2025
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