Individual
SHANNON OLIVER I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10250 N 92ND ST, SUITE 102, SCOTTSDALE, AZ 85258-4510
(480) 767-9239
(480) 767-9224
Mailing address
10250 N 92ND ST, SUITE 102, SCOTTSDALE, AZ 85258-4510
(480) 767-9239
(480) 767-9224
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
—
—
Other
Enumeration date
03/07/2016
Last updated
03/07/2016
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