Individual
SHANNON O'BRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
14961 W BELL RD STE 175, SURPRISE, AZ 85374-3220
(623) 547-7205
(623) 243-6733
Mailing address
14961 W BELL RD STE 175, SURPRISE, AZ 85374-3220
(623) 547-7205
(623) 243-6733
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9820
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/17/2023
Last updated
08/28/2023
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