Dr. Steven William Shader, DPM
Podiatrist, Foot & Ankle Surgery in Camp Pendleton, CA. Individual provider (NPI-1).
NPI number1164048534
StatusActive
Last updated in NPPESAug 31, 2023
Details
- NPI
- 1164048534
- Entity type
- Individual (NPI-1)
- Name
- Dr. Steven William Shader
- Credential
- DPM
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 22, 2020
- Certification date
- Aug 30, 2023
- Last updated
- Aug 31, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 213ES0103X | Podiatrist, Foot & Ankle Surgery | e5988 | CA | Yes |
Practice location
200 Mercy CircleCamp Pendleton, CA 92055
Phone 760-725-1288
Mailing address
802 Azalea AveSan Marcos, CA 92078-5371
Phone 520-269-1920
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