Individual
SHANNON PATRICE VALENZUELA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
14300 W GRANITE VALLEY DR STE E23, SUN CITY WEST, AZ 85375-5798
(623) 975-0500
(623) 975-0705
Mailing address
14300 W GRANITE VALLEY DR STE E23, SUN CITY WEST, AZ 85375-5798
(623) 975-0500
(623) 975-0500
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
22718
AZ
207RP1001X
Pulmonary Disease Physician
Primary
22718
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22718
STATE LICENSE
AZ
05
—
380113
—
AZ
Enumeration date
10/14/2005
Last updated
04/03/2026
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