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Donovan Paul Shively, MD
Obstetrics & Gynecology Physician in Fairfield, California
NPI 1063485217

Donovan Paul Shively is a Obstetrics & Gynecology Physician based in Fairfield, CA. Donovan Paul Shively practices in Fairfield, CA and has the professional credentials of MD. The NPI Number for Donovan Paul Shively is 1063485217 and holds a License No. G21888 (California).

The current practice location address for Donovan Paul Shively is 4397 Edinburg Ct, Fairfield, CA and can be reached out via phone at 707-864-2311 and via fax at 707-864-2317.

Location: 4397 Edinburg Ct, Fairfield, CA, 94534
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063485217
Provider Name
Donovan Paul Shively
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
4397 Edinburg Ct, Fairfield, CA, 94534
Phone Number
707-864-2311
Fax Number
707-864-2317
Provider Enumeration Date
02/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00G218880 05 CA
institution
Provider Business Practice Location Address Details
Address
4397 Edinburg Ct
City
Fairfield
State
California
Zip
94534
Phone Number
707-864-2311
Fax Number
707-864-2317
person
Provider Business Mailing Address Details
Address
4397 Edinburg Ct
City
Fairfield
State
California
Zip
94534
Phone Number
707-864-2311
Fax Number
707-864-2317
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
207V00000X
License No.
G21888 (California)
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
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