Individual
SHANNON PORTZ ROBINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
400 W 5TH ST, YUMA, AZ 85364-2945
(928) 502-7800
(928) 502-7818
Mailing address
400 W 5TH ST, YUMA, AZ 85364-2945
(928) 502-7800
(928) 502-7818
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
5867
AZ
Other
Enumeration date
08/12/2014
Last updated
08/12/2014
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