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Individual
DR. SHAWN G PLATT
Active
Individual
DR. SHAWN G PLATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
AZ3313
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
518053
—
AZ
01
—
Z72466
MEDICARE GROUP PTEN #
AZ
01
—
Z72467
MEDICARE PTEN
AZ
Enumeration date
07/26/2005
Last updated
12/22/2014
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