Blynn L Shideler MD PC

NPI #1497953921 in Monterey, California

Provider Information

NPI Number: 1497953921
Entity Type: Organization
Organization Name: Blynn L Shideler MD PC
Primary Specialty: Surgery
Enumeration Date: Jul 5, 2007
Last Updated: Mar 4, 2008

Practice Location

Address: 5 LOWER RAGSDALE DR
Address 2: SUITE 101
City: Monterey
State: California
ZIP Code: 93940-5817
Phone: (425) 996-1001

Authorized Official

Name: BLYNN L SHIDELER, MD
Title: PRESIDENT
Phone: (425) 996-1001

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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