Individual
SHANNA R CLINGINGSMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4365 E PECOS RD BLDG 14, STE 134, GILBERT, AZ 85295-7875
(480) 840-9155
(480) 840-9320
Mailing address
4365 E PECOS RD BLDG 14, STE 134, GILBERT, AZ 85295-7875
(480) 840-9155
(480) 840-9320
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5309
AZ
Other
Enumeration date
11/27/2012
Last updated
03/25/2016
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