DR. Shannon R Staker, MD

NPI #1023078045 in Roosevelt, Utah

Provider Information

NPI Number: 1023078045
Entity Type: Individual
Name: DR. Shannon R Staker, MD
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Pediatrics
Credential: MD
Enumeration Date: Mar 24, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 210 W 300 N 75-3
City: Roosevelt
State: Utah
ZIP Code: 84066
Phone: (435) 722-3971

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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