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NPI Profile for EILEEN SHI in RIO RANCHO, NM.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Surgical |
363AS0400X | 97 | Physician Assistant |
| NPI # | 1144712837 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 05/30/2018 | |
| Last updated | 10/25/2022 - About 4 years ago | |
| Sole proprietor 1 | No | |
| Identifiers | Not Available | |
| Hospital affiliation(s) |
|
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EILEEN SHI
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EILEEN SHI