Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | 58561 | AZ |
NPI | 1518312826 |
---|---|
Provider Name | Shawn David Abreu |
First Address | Scottsdale, AZ 85259-5499 |
Second Address | Scottsdale, AZ 85259 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/04/2016 |
Last Update Date | 21/06/2019 |