Alyse Shapaka, PA

NPI #1033588405 in Marietta, Ohio

Provider Information

NPI Number: 1033588405
Entity Type: Individual
Name: Alyse Shapaka, PA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Sep 16, 2015
Last Updated: Jul 15, 2024

Practice Location

Address: 400 MATTHEW ST
Address 2: SUITE 200
City: Marietta
State: Ohio
ZIP Code: 45750-1644
Phone: (740) 434-0565

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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