National Provider Identifier Database

SHANNON R STAKER, MD – NPI #1023078045
Pediatrics

A pediatrician 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.


Contact Information

SHANNON R STAKER, MD
210 W 300 N 75-3
ROOSEVELT, UT84066
Phone: 435-722-3971
Fax: 435-722-6104
Website:
Specialty Taxonomy Code
* Pediatrics 208000000X

* Indicates primary specialty

NPI Profile & details for SHANNON R STAKER

NPI Number 1023078045
Credentials MD
Entity Individual
Enumeration date 03/24/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor1 Not specified
Identifiers
  • UT License #: 49110641205
  • UT Medicaid: D3849
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for SHANNON R STAKER, MD

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