Search › Arizona › 163WS0200X
Shontionn Pridgon
NPI 1588548036 · on the registry since 2025 · sole proprietor
Practice
- Address
- 8045 N 47th Ave
Glendale, AZ 85302 - Phone
- (623) 435-6300
- Clinicians at this address
- 7
Registry record
- Primary taxonomy
- 163WS0200X
163WS0200X
- Licence states on file
- AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-08-05
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