Shannon R Wiant

NPI #1679716120 in Glendale, Arizona

Provider Information

NPI Number
1679716120
Entity Type
Individual
Name
Shannon R Wiant
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Specialist
Enumeration Date
Apr 14, 2009
Last Updated
Apr 14, 2009

Practice Location

Address
5430 W GLENN DR
State
Arizona
ZIP Code
85301-2628
Phone
(623) 238-9763

Specialties & Taxonomy Codes

Specialty
Specialist

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