Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 0101247630 | VA |
N | 207Y00000X | Otolaryngologist (ENT Doctor) | 38596 | IA |
N | 207YX0007X | Plastic Surgeon (Head & Neck) | 38596 | IA |
NPI | 1801009436 |
---|---|
Provider Name | David C Shonka JR. |
First Address | Charlottesville, VA 22906-9007 |
Second Address | Charlottesville, VA 22903-2980 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/05/2007 |
Last Update Date | 07/07/2010 |