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Individual
DR. SHANNON HILLMAN SMALLEY
Active
Individual
DR. SHANNON HILLMAN SMALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
4227
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3981220
EVERCARE GRP #
AZ
01
—
453051001
GROUP HEALTH GRP #
—
05
—
457300
—
AZ
01
—
860373636
HUMANA GRP #
AZ
01
—
AW1436
HEALTHNET GRP #
AZ
01
—
AZ0728670
BLUE CROSS BLUE SHIELD
AZ
Enumeration date
11/07/2005
Last updated
08/11/2014
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