Individual
SHERA MIRIAM SHAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
370 E VIRGINIA AVE STE 100, PHOENIX, AZ 85004-1254
(602) 258-4788
(602) 258-5131
Mailing address
370 E VIRGINIA AVE STE 100, PHOENIX, AZ 85004-1254
(602) 258-4788
(602) 258-5131
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
6877
AZ
Other
Enumeration date
10/02/2017
Last updated
10/23/2017
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