DR. Shayne Poulin, M.D.

NPI #1184915407 in San Bernardino, California

Provider Information

NPI Number: 1184915407
Entity Type: Individual
Name: DR. Shayne Poulin, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: M.D.
Enumeration Date: Apr 20, 2011
Last Updated: May 12, 2017

Practice Location

Address: 1873 COMMERCENTER W
City: San Bernardino
State: California
ZIP Code: 92408-3303
Phone: (909) 890-5511

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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