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NPI Code Detail

MEDICARE: RONALD K SHIMMIN M.D.

MEDICARE:   RONALD K SHIMMIN  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12083X0100XOccupational Medicine PhysicianA37055CA
2208D00000XGeneral Practice PhysicianA37055CA

General Provider Information

NPI Number : 1225153315
Entity Type Code : Individual
Provider Name (Legal Business Name) : RONALD K SHIMMIN M.D.
Provider Business Mailing Address
First Line : 5080 SPECTRUM DR
Second Line : SUITE 1200 WEST
City : ADDISON
State : TX
Zip : 75001-4648
Country : US
Telephone Number : 972-364-8000
Fax Number :
Provider Business Practice Location Address
First Line : 1146 SAN MARINO DR
Second Line :
City : SAN MARCOS
State : CA
Zip : 92078-4649
Country : US
Telephone Number : 760-471-2033
Fax Number : 760-471-2083
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/20/2007
Last Update Date : 03/16/2015

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Directions to “ RONALD K SHIMMIN M.D.” Practice Location

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