DR. Shane Michael Hawthorne, MD

NPI #1629462189 in Orem, Utah

Provider Information

NPI Number: 1629462189
Entity Type: Individual
Name: DR. Shane Michael Hawthorne, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Mar 23, 2015
Last Updated: Aug 6, 2019

Practice Location

Address: 155 W 400 N
City: Orem
State: Utah
ZIP Code: 84057-4658
Phone: (801) 224-1300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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