Shannon Leigh Maxon, PA-C
NPI #1407900566 in East Haven, Connecticut
Provider Information
- NPI Number
- 1407900566
- Entity Type
- Individual
- Name
- Shannon Leigh Maxon, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Jan 23, 2007
- Last Updated
- Feb 22, 2016
Practice Location
- Address
- 33 COSEY BEACH AVE
- City
- East Haven
- State
- Connecticut
- ZIP Code
- 06512-4905
- Phone
- (413) 530-1813
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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