SearchArizona2355S0801X

Shannon Campbell

NPI 1225376395 · on the registry since 2013 · sole proprietor

Practice

Address
4609 W Banff Ln
Glendale, AZ 85306
Phone
(602) 920-6893

Registry record

Primary taxonomy
2355S0801X
2355S0801X
Licence states on file
AZ
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2013-01-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona