Individual provider · Type 1 NPI

Theresa Joanne Shanley, MD

Diagnostic Radiology Physician · Fairbanks, AK

NPI number 1457466823 Active

Practice location

1650 Cowles St
Fairbanks, AK 99701-5925

Mailing address

PO Box 70378
Fairbanks, AK 99707-0378

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202X5533 (AK)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1457466823

Theresa Joanne Shanley, MD's National Provider Identifier is 1457466823, issued on Aug 19, 2006. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Fairbanks, AK. The record was last updated on Jul 8, 2007.