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Dr. Jacob D. Shank, MD
Student in an Organized Health Care Education/Training Program in Cottonwood, Arizona
NPI 1780983312

Jacob D. Shank is a Student in an Organized Health Care Education/Training Program based in Cottonwood, AZ. Jacob D. Shank practices in Cottonwood, AZ and has the professional credentials of MD. The NPI Number for Jacob D. Shank is 1780983312 and holds a License No. 49186 (Arizona).

The current practice location address for Jacob D. Shank is 269 S Candy Ln, Cottonwood, AZ and can be reached out via phone at 928-639-6172. You can also correspond with Jacob D. Shank through the mailing address at 269 S CANDY LN, COTTONWOOD, AZ - 86326-4158 (mailing address contact number: 928-639-6172).

Location: 269 S Candy Ln, Cottonwood, AZ, 86326-4158
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780983312
Provider Name
Jacob D. Shank
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
269 S Candy Ln, Cottonwood, AZ, 86326-4158
Phone Number
928-639-6172
Fax Number
Provider Enumeration Date
03/22/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
269 S Candy Ln
City
Cottonwood
State
Arizona
Zip
86326-4158
Phone Number
928-639-6172
Fax Number
person
Provider Business Mailing Address Details
Address
269 S Candy Ln
City
Cottonwood
State
Arizona
Zip
86326-4158
Phone Number
928-639-6172
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
-
Taxonomy
207P00000X
License No.
()
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
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.
49186 (Arizona)
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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