Shunrie Geldore, PHYSICIAN ASSISTANT

NPI #1780958645 in Edwards Afb, California

Provider Information

NPI Number: 1780958645
Entity Type: Individual
Name: Shunrie Geldore, PHYSICIAN ASSISTANT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PHYSICIAN ASSISTANT
Enumeration Date: Feb 23, 2012
Last Updated: Feb 23, 2012

Practice Location

Address: 30 NIGHTINGALE RD
City: Edwards Afb
State: California
ZIP Code: 93524-0001
Phone: (661) 275-7938

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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