Individual
SHANNON PETRUS ZEHTABAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9500 KANIS RD STE 501, LITTLE ROCK, AR 72205-6389
(501) 227-9080
(501) 227-0410
Mailing address
9500 KANIS RD STE 501, LITTLE ROCK, AR 72205-6389
(501) 227-9080
(501) 227-0410
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
E-16971
AR
Other
Enumeration date
04/03/2018
Last updated
07/26/2023
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