Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0131X | Foot Surgery | 0173 | AZ |
NPI | 1003800921 |
---|---|
Provider Name | Gilbert D. Shapiro |
First Address | Tucson, AZ 85716-3115 |
Second Address | Tucson, AZ 85716-3115 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/09/2005 |
Last Update Date | 11/03/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1003800921 | NPI (01) | AZ |
1033469028 | NPI (01) | AZ |
701111 | (05) | AZ |
T42135 | (02) | AZ |