Individual
MRS. MARY ANN SHOSTEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2152 S VINEYARD STE 138, MESA, AZ 85210-6882
(480) 539-6646
(480) 539-6696
Mailing address
2152 S VINEYARD STE 138, MESA, AZ 85210-6882
(480) 539-6646
(480) 539-6696
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
3103
AZ
Other
Enumeration date
06/06/2008
Last updated
06/09/2008
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