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 |
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| Provider Name : | Dr. Shannon R Staker |
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| Credential : | MD |
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| Gender : | Female |
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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 |
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| Phone Number : | 435-722-3971 |
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| Fax Number : | 435-722-6104 |
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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 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 24 Mar, 2006 |
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| Last Updated On : | 08 Jul, 2007 |
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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 | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 49110641205 | UT |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Shannon R Staker such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| D3849 | MEDICAID | UT | |
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 |
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| Phone Number : | 435-722-3971 |
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| Fax Number : | 435-722-6104 |
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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.