Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SHANNON R STAKER, MD
ActiveDR. SHANNON R STAKER, MD is a Pediatrics healthcare provider located in ROOSEVELT, Utah. NPI 1023078045 is currently active in the NPPES registry. Verify at CMS.
Pediatrics · ROOSEVELT, UT
Registration Details
- NPI Number
- 1023078045
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 24, 2006 (20.3562493988 yrs)
- Last Updated
- Jul 8, 2007
- License
-
49110641205 (UT)
Practice Information
- Address
-
210 W 300 N 75-3ROOSEVELT, UT, 84066Browse UT providers · Browse ZIP 84066
- Phone
- 4357223971
- Fax
- 4357226104
- Primary Specialty
-
Pediatrics
208000000X
Other Pediatrics Providers in ROOSEVELT, UT
| Name | Credential | NPI |
|---|---|---|
| DR. JASON S BEALES | MD | 1891755872 |
| DR. GREGORY L STAKER | MD | 1275593717 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.