Individual provider · Type 1 NPI

Shane M. Hadley, AT

Specialist · Newport Beach, CA

NPI number 1326249772 Active

Practice location

1000 Bristol St N Ste 25
Newport Beach, CA 92660-8917

Fax (949) 250-1401

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XAT6305 (CA)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1326249772

Shane M. Hadley, AT's National Provider Identifier is 1326249772, issued on May 31, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Newport Beach, CA. The record was last updated on Jul 8, 2007.