Healthcare Provider Details

I. General information

NPI: 1225216203
Provider Name (Legal Business Name): GILBERT D. SHAPIRO, D.P.M.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/01/2008
Last Update Date: 03/06/2008
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:
Mailing address:
  • Phone: 520-327-6367
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0131X
TaxonomyFoot Surgery Podiatrist
License Number
License Number State

VIII. Authorized Official

Name: DR. GILBERT DAVID SHAPIRO
Title or Position: OWNER
Credential: D.P.M.
Phone: 520-327-6367