Individual
SHANNON BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1300 S 20TH AVE, SAFFORD, AZ 85546-3301
(928) 428-3122
Mailing address
933 E FOUNTAIN ST, MESA, AZ 85203-4919
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5285
AZ
Other
Enumeration date
10/30/2012
Last updated
10/30/2012
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