Individual
DR. SHANNON REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
CORNER OF ROUTE N12 AND N7, FORT DEFIANCE, AZ 86504
(928) 729-8132
Mailing address
PO BOX 649, FORT DEFIANCE, AZ 86504-0649
(928) 729-8600
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A135859
CA
Other
Enumeration date
09/16/2015
Last updated
01/28/2023
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