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Contact Information

JAMIE D SHUTTER, MD
6250 N DURANGO DR
LAS VEGAS, NV89149-3916
 Phone: 702-342-9990
 Fax: 702-485-2372
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for JAMIE D SHUTTER · (Male)

NPI # 1902852239
Status Active
Credentials MD
Entity Individual
Enumeration date 05/26/2006
Last updated 12/19/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • DC License # MD036095
  • FL License # ME 98596
  • MD License # D0091999
  • NC License # 2011-00052
  • NV License # 25728
  • TX License # R9435
  • FL Medicaid 278431900
  • NC Medicaid 5916767
  • FL Other 01299 BLUE CROSS BLUE SHIELD
  • NC Other 162VJ BCBSNC
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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