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1316928070
BENJAMIN D SHADLE
ROSEVILLE, CA
NPI
1316928070
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208600000X Surgery
(Licence: CA A99595)
Enumeration Date
2005-11-09
Last Update Date
2016-10-19
Business Address
-- BENJAMIN D SHADLE M.D.
3 MEDICAL PLAZA SUITE 200
ROSEVILLE, CA 95661
Phone number: 916-773-8750
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Mailing Address
-- BENJAMIN D SHADLE M.D.
10470 OLD PLACERVILLE ROAD SUITE 100
SACRAMENTO, CA 95827-2539
Phone number: 800-470-0071
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