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Dr. Shannon R Staker, MD
Pediatrics Physician in Roosevelt, Utah
NPI 1023078045

Shannon R Staker is a Pediatrics Physician based in Roosevelt, UT. Shannon R Staker practices in Roosevelt, UT and has the professional credentials of MD. The NPI Number for Shannon R Staker is 1023078045 and holds a License No. 49110641205 (Utah).

The current practice location address for Shannon R Staker is 210 W 300 N 75-3, Roosevelt, UT and can be reached out via phone at 435-722-3971 and via fax at 435-722-6104.

Location: 210 W 300 N 75-3, Roosevelt, UT, 84066
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1023078045
Provider Name
Shannon R Staker
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
210 W 300 N 75-3, Roosevelt, UT, 84066
Phone Number
435-722-3971
Fax Number
435-722-6104
Provider Enumeration Date
03/24/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
D3849 05 UT
institution
Provider Business Practice Location Address Details
Address
210 W 300 N 75-3
City
Roosevelt
State
Utah
Zip
84066
Phone Number
435-722-3971
Fax Number
435-722-6104
person
Provider Business Mailing Address Details
Address
210 W 300 N 75-3
City
Roosevelt
State
Utah
Zip
84066
Phone Number
435-722-3971
Fax Number
435-722-6104
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
-
Taxonomy
208000000X
License No.
49110641205 (Utah)
Definition
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.
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