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NPI Code Detail

MEDICARE: MR. DAVID BRYAN SHEAFFER M.A.

MEDICARE: MR. DAVID BRYAN SHEAFFER M.A.
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
1231H00000XAudiologistAU762CA

General Provider Information

NPI Number : 1346395399
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. DAVID BRYAN SHEAFFER M.A.
Provider Business Mailing Address
First Line : 5129 CORAZON CT
Second Line :
City : SACRAMENTO
State : CA
Zip : 95835-1311
Country : US
Telephone Number : 916-419-9885
Fax Number :
Provider Business Practice Location Address
First Line : 2521 STOCKTON BLVD
Second Line :
City : SACRAMENTO
State : CA
Zip : 95817-2207
Country : US
Telephone Number : 916-734-5398
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/23/2007
Last Update Date : 07/08/2007

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