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NPI Code Detail

MEDICARE: SHAWN M SINGLETON M.D.

MEDICARE: SHAWN M SINGLETON M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics Physician36442AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1891991253
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHAWN M SINGLETON M.D.
Provider Business Mailing Address
First Line : 9520 W PALM LN
Second Line : STE 200
City : PHOENIX
State : AZ
Zip : 85037-4403
Country : US
Telephone Number : 623-583-3001
Fax Number : 623-583-3007
Provider Business Practice Location Address
First Line : 15525 N 83RD AVE
Second Line : STE 104
City : PEORIA
State : AZ
Zip : 85382-5820
Country : US
Telephone Number : 877-809-5092
Fax Number : 623-505-3272
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/22/2007
Last Update Date : 10/10/2014

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Directions to “ SHAWN M SINGLETON M.D.” Practice Location

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