Individual provider · Type 1 NPI

Shannon R. Wiant

Specialist · Glendale, AZ

NPI number 1679716120 Active

Practice location

5430 W Glenn Dr
Glendale, AZ 85301-2628

Call (623) 238-9763 Map

Fax (623) 937-5425

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X4340 (AZ)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1679716120

Shannon R. Wiant's National Provider Identifier is 1679716120, issued on Apr 14, 2009. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Glendale, AZ. The record was last updated on Apr 14, 2009.