NPI 1053104208

Jacob Moss Shaner, MD

Practitioner Anatomic Pathology & Clinical Pathology Physician Tucson, AZ

Practice location

Address: PO Box 245043, Tucson, AZ 85724-5043
Phone: (520) 626-5669
Mailing address: 7185 S Paseo Monte de Oro, Tucson, AZ 85756-8368

Registered specialties

Anatomic Pathology & Clinical Pathology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207ZP0102X Licence R81861 (AZ)

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Registry record

NPI: 1053104208
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 May 2025
Record last updated: 28 May 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.