Shannon R Grew, PA-S1

NPI #1023805629 in Mesa, Arizona

Provider Information

NPI Number: 1023805629
Entity Type: Individual
Name: Shannon R Grew, PA-S1
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-S1
Enumeration Date: Apr 24, 2025
Last Updated: Apr 24, 2025

Practice Location

Address: 5850 E STILL CIR
City: Mesa
State: Arizona
ZIP Code: 85206-3618
Phone: (774) 487-1098

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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