Dr. Steven R. Shackford
Surgeon Vascular Surgeon
550 Washington St. Suite 641
San Diego
, California 92103-2229
Dr. Steven R. Shackford
Surgeon Vascular Surgeon
550 Washington St. Suite 641
San Diego
, California 92103-2229
(619) 299-3923
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About
Features
Specialties
- Surgeon
- Vascular Surgeon
Languages spoken
- English
Location
First Address
- Dr. Steven R. Shackford
- 550 Washington St. Suite 641
- San Diego, CA
- Zip : 92103-2229
- Fax : (619) 299-3923
- Phone : (619) 299-2600
Second Address
- Dr. Steven R. Shackford
- 550 Washington St. Suite 641
- San Diego, CA
- Zip : 92103-2229
- Fax : (619) 299-3923
- Phone : (619) 299-2600
Reviews
FAQs
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Is Dr. Steven R. Shackford a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208200000X | Surgeon | G29279 | CA |
| N | 208600000X | Surgeon | G29279 | CA |
| Y | 2086S0129X | Vascular Surgeon | G29279 | CA |
National Provider Identifier
| NPI | 1144244419 |
|---|---|
| Provider Name | Dr. Steven R. Shackford |
| First Address | San Diego, CA 92103-2229 |
| Second Address | San Diego, CA 92103-2229 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/07/2006 |
| Last Update Date | 12/04/2013 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.