Individual
SHANNA L. ACORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2321 N 400 E STE 200, TOOELE, UT 84074-3440
(435) 830-6110
Mailing address
2321 N 400 E STE 200, TOOELE, UT 84074-3440
(435) 830-6110
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
01/04/2019
Last updated
05/25/2022
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