Doctor Name: | DR. JONATHAN SCOTT SHAKESPEAR |
NPI Number: | 1033367065 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 4301096633 |
Business Practice Address: | 5444 S. Green St. Murray, UT - 841235632 |
Business Phone Number: | 8012628120 |
Business Fax Number: | 8012623897 |
Mailing Address: | 5444 S. Green St., MURRAY |
State: | UT |
Postal Code: | 841235632 |
Phone Number: | 8012628120 |
Fax Number: | 8012623897 |
NPI Enumeration Date: | 09/03/2008 |
NPI Last Update Date: | 08/30/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0202X |
License Number: | 4301096633 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Diagnostic Radiology |
Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |