Individual
SHANNON TEW
Active
Individual
SHANNON TEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
2013-01302
NC
207LP3000X
Pediatric Anesthesiology Physician
Primary
13157195-1205
UT
207LP3000X
Pediatric Anesthesiology Physician
50549
AZ
Other
Enumeration date
04/24/2009
Last updated
01/18/2023
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