Dr. Shannon R Staker

MD | Pediatrics | Female

Dr. Shannon R Staker, MD is a Roosevelt, Utah based Pediatric doctor with medical specialization in General Pediatrics. Current practice location of Dr. Shannon R Staker is 210 W 300 N 75-3, Roosevelt, Utah - 84066. She can be contacted on phone at 435-722-3971 and fax number 435-722-6104. Dr. Shannon R Staker is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Shannon R Staker is 1023078045 which was assigned by NPPES on 24 Mar, 2006 and it was last updated on 08 Jul, 2007. Dr. Shannon R Staker license number is 49110641205 for Pediatrics (208000000X) in Utah.
Dr. Shannon R Staker is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. Shannon R Staker basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
Specialization :Pediatrics
Provider Name :Dr. Shannon R Staker
Credential :MD
Gender :Female
Business Address:
Dr. Shannon R Staker address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
Primary Address :210 W 300 N 75-3
Roosevelt, UT, 84066
United States
Phone Number :435-722-3971
Fax Number :435-722-6104
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
NPI Number : 1023078045
NPI Entity Type : Individual
First Enrolment Date : 24 Mar, 2006
Last Updated On : 08 Jul, 2007
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Shannon R Staker are as mentioned. Primary taxonomy code for Dr. Shannon R Staker, MD is 208000000X (Pediatrics).
Taxonomy Code SpecialityPrimaryLicense No.State
208000000XPediatricsYes49110641205UT
Legacy Identifiers:
Other legacy medical identifiers of Dr. Shannon R Staker such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
IdentifierIdentifier TypeStateIssuer
D3849MEDICAIDUT
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
Mailing Address :210 W 300 N 75-3
Roosevelt, UT, 84066
United States
Phone Number :435-722-3971
Fax Number :435-722-6104
Business Location:
Patients can refer following map for directions to Dr. Shannon R Staker practice address. Don't forget to take prior appointment before visiting.

** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.