Healthcare Provider Details

I. General information

NPI: 1033469028
Provider Name (Legal Business Name): GILBERT D SHAPIRO, DPM PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/17/2012
Last Update Date: 09/17/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1888 N COUNTRY CLUB RD.
TUCSON AZ
85716-3115
US

IV. Provider business mailing address

1888 N COUNTRY CLUB RD
TUCSON AZ
85716-3115
US

V. Phone/Fax

Practice location:
  • Phone: 520-327-6367
  • Fax: 520-318-4492
Mailing address:
  • Phone: 520-327-6367
  • Fax: 520-318-4492

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0131X
TaxonomyFoot Surgery Podiatrist
License Number0173
License Number StateAZ

VIII. Authorized Official

Name: DR. GILBERT D SHAPIRO
Title or Position: DOCTOR/ OWNER
Credential: DPM
Phone: 520-327-6367