Individual provider · Type 1 NPI

Shannon Jackie Clark

Contractor · Vail, AZ

NPI number 1700940855 Active

Practice location

12729 S Ox Cart Trl
Vail, AZ 85641-9232

Fax (520) 750-0056

Specialties and licenses

Taxonomy	Code	License
Contractor Primary	171W00000X	11816 (AZ)

Contractor: For the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no re…

Other contractor providers in Vail

See all in Vail →

About NPI 1700940855

Shannon Jackie Clark's National Provider Identifier is 1700940855, issued on Dec 21, 2006. The primary taxonomy on file is Contractor (171W00000X), and the practice location is in Vail, AZ. The record was last updated on Dec 26, 2024.