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Jamal Shillingford
Student in an Organized Health Care Education/Training Program in Larkspur, California
NPI 1063855567

Jamal Shillingford is a Student in an Organized Health Care Education/Training Program based in Chicago, CA. Jamal Shillingford practices in Larkspur, CA. The NPI Number for Jamal Shillingford is 1063855567 and holds a License No. 51177 (California).

The current practice location address for Jamal Shillingford is 2 Bon Air Rd Ste 120, Larkspur, CA and can be reached out via phone at 415-927-5300.

Location: 2 Bon Air Rd Ste 120, Larkspur, CA, 60677-6351
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063855567
Provider Name
Jamal Shillingford
Credential
Provider Entity Type
Individual
Gender
Male
Address
2 Bon Air Rd Ste 120, Larkspur, CA, 60677-6351
Phone Number
415-927-5300
Fax Number
Provider Enumeration Date
04/15/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
300013826 05 IN
institution
Provider Business Practice Location Address Details
Address
2 Bon Air Rd Ste 120
City
Larkspur
State
California
Zip
94939-1142
Phone Number
415-927-5300
Fax Number
person
Provider Business Mailing Address Details
Address
2 Bon Air Rd Ste 120
City
Larkspur
State
California
Zip
94939-1142
Phone Number
415-927-5300
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Orthopedic Surgery
Speciality
Orthopedic Surgery of the Spine
Taxonomy
207XS0117X
License No.
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Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopedic surgery, orthopedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
51177 (Kentucky)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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