Individual
MR. SHANNON COLE WINN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPO
Contact information
Practice address
1075 S IDAHO RD, SUITE 101, APACHE JUNCTION, AZ 85219-6496
(480) 982-3000
(480) 982-3103
Mailing address
1075 S IDAHO RD, SUITE 101, APACHE JUNCTION, AZ 85219-6496
(480) 982-3000
(480) 982-3103
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
CPO02652
AZ
Other
Enumeration date
08/01/2006
Last updated
03/06/2008
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