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Dr. Vincent Stephen Shallow, MD
Urology Physician in San Marcos, California
NPI 1770783052

Vincent Stephen Shallow is a Urology Physician based in San Marcos, CA. Vincent Stephen Shallow practices in San Marcos, CA and has the professional credentials of MD. The NPI Number for Vincent Stephen Shallow is 1770783052 and holds a License No. 123271 (California).

The current practice location address for Vincent Stephen Shallow is 2095 Lynx Way, San Marcos, CA and can be reached out via phone at 760-304-0226.

Location: 2095 Lynx Way, San Marcos, CA, 92078-0905
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770783052
Provider Name
Vincent Stephen Shallow
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2095 Lynx Way, San Marcos, CA, 92078-0905
Phone Number
760-304-0226
Fax Number
Provider Enumeration Date
07/24/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2157538 01 CA MEDI-CAL
institution
Provider Business Practice Location Address Details
Address
2095 Lynx Way
City
San Marcos
State
California
Zip
92078-0905
Phone Number
760-304-0226
Fax Number
person
Provider Business Mailing Address Details
Address
2095 Lynx Way
City
San Marcos
State
California
Zip
92078-0905
Phone Number
760-304-0226
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Urology
Speciality
-
Taxonomy
208800000X
License No.
123271 (New York)
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
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