Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208800000X | Urologist | 25076 | AZ |
NPI | 1033198320 |
---|---|
Provider Name | Robert Harris Shapiro |
First Address | Scottsdale, AZ 85255-6703 |
Second Address | Scottsdale, AZ 85255-6703 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/01/2006 |
Last Update Date | 06/12/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
414532 | (05) | AZ |
G46289 | (02) |