DR. SHANNON STAKER, MD

Pediatrics

Active Individual
NPI: 1023078045

Practice Address

210 W 300 N 75-3
Roosevelt, UT 84066

Phone: (435) 722-3971

Specialties

Specialty Code Primary License
Pediatrics 208000000X Yes 49110641205 (UT)

Frequently Asked Questions

NPI 1023078045 is the National Provider Identifier for DR. SHANNON STAKER, MD, a Pediatrics provider located in Roosevelt, UT. This NPI was enumerated on March 24, 2006.
DR. SHANNON STAKER, MD practices at 210 W 300 N 75-3, Roosevelt, UT 84066.

Quick Facts

NPI
1023078045
Type
Individual
Enumerated
Mar 24, 2006
Last Updated
Jul 8, 2007

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