Individual
DR. SHAWN G PLATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2828 N STONE AVE, TUCSON, AZ 85705-4503
(520) 622-4580
(520) 306-3033
Mailing address
2828 N STONE AVE, TUCSON, AZ 85705-4503
(520) 622-4580
(520) 306-3033
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
AZ3313
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
518053
—
AZ
01
—
Z72466
MEDICARE GROUP PTEN #
AZ
01
—
Z72467
MEDICARE PTEN
AZ
Enumeration date
07/26/2005
Last updated
12/22/2014
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