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Individual

DR. SHANNON BITZA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
8501 N 51ST AVE, GLENDALE, AZ 85302-4919
(623) 939-1439
(623) 939-1439
Mailing address
8501 N 51ST AVE, GLENDALE, AZ 85302-4919
(623) 939-1439
(623) 939-1439

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
AP7863
AZ
363L00000X
Nurse Practitioner
Primary
AP7863
AZ

Other

Enumeration date
06/05/2015
Last updated
04/23/2020
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