Individual
MARGERY AMY ANNE SHOPTAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
205 S DOBSON RD STE 1, CHANDLER, AZ 85224-6183
(602) 933-3480
Mailing address
3200 E CAMELBACK RD STE 250, PHOENIX, AZ 85018-2327
(602) 933-1814
(480) 838-5033
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
23894
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
366494
PHOENIX HEALTH PLAN
—
01
—
5926009
HEALTH NET PIN # 5204
—
01
—
98783
PACIFICARE
—
01
—
AX0830310
BLUE CROSS OF ARIZONA
—
Enumeration date
02/22/2006
Last updated
03/07/2023
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