Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081S0010X | Sports Medicine | E4846 | CA |
Y | 213ES0000X | Sports Medicine | E4846 | CA |
NPI | 1407097272 |
---|---|
Provider Name | Marshall Shieh |
First Address | Bakersfield, CA 93308-6373 |
Second Address | Bakersfield, CA 93301-1605 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/03/2009 |
Last Update Date | 15/04/2020 |