Individual provider · Type 1 NPI

Shannon Watkins, PA-C

Surgical Physician Assistant · Phoenix, AZ

NPI number 1013491968 Active

Practice location

370 E Virginia Ave Ste 100
Phoenix, AZ 85004-1254

Call (602) 258-4788 Map

Mailing address

20808 N 27th Ave Apt 2030
Phoenix, AZ 85027-3235

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X7230 (AZ)

Surgical Physician Assistant: Definition to come...

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About NPI 1013491968

Shannon Watkins, PA-C's National Provider Identifier is 1013491968, issued on Sep 17, 2018. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Phoenix, AZ. The record was last updated on Aug 22, 2023.