Individual provider · Type 1 NPI
Steven William Shader, DPM
Foot & Ankle Surgery Podiatrist · Camp Pendleton, CA
NPI number
1164048534
Active
Practice location
200 Mercy Circle
Camp Pendleton, CA 92055
Mailing address
802 Azalea Ave
San Marcos, CA 92078-5371
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | E5988 (CA) |
Foot & Ankle Surgery Podiatrist: Definition to come...
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About NPI 1164048534
Steven William Shader, DPM's National Provider Identifier is 1164048534, issued on Jun 22, 2020. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Camp Pendleton, CA. The record was last updated on Aug 31, 2023.