Individual provider · Type 1 NPI

Shayne Elizabeth Polley, MD

Emergency Medicine Physician · Fort Defiance, AZ

NPI number 1902485063 Active

Practice location

Corner Of Route N12 & N7
Fort Defiance, AZ 86504-0649

Call (928) 729-8000 Map

Mailing address

PO Box 649
Fort Defiance, AZ 86504-0649

Specialties and licenses

TaxonomyCodeLicense
Emergency Medicine Physician Primary 207P00000XDR.0077765 (CO)
Emergency Medicine Physician 207P00000X125.078356 (IL)
Student in an Organized Health Care Education/Training Program 390200000XNone listed

Emergency Medicine Physician: An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in respo…

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About NPI 1902485063

Shayne Elizabeth Polley, MD's National Provider Identifier is 1902485063, issued on Apr 6, 2021. The primary taxonomy on file is Emergency Medicine Physician (207P00000X), and the practice location is in Fort Defiance, AZ. The record was last updated on Sep 30, 2026.