Individual
SHAWN HAMILTON MIRANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
331 SIJEN AVE, WHITEMAN AIR FORCE BASE, MO 65305-1269
(660) 687-7187
Mailing address
4881 SUGAR MAPLE DR, DAYTON, OH 45433-5529
(937) 522-4289
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
10/06/2017
Last updated
04/24/2025
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