person
Shannon Rae Sgro, PA-C
Medical Physician Assistant in Roseville, California
NPI 1396790358

Shannon Rae Sgro is a Medical Physician Assistant based in Roseville, CA and is specialized in Medical. Shannon Rae Sgro practices in Roseville, CA and has the professional credentials of PA-C. The NPI Number for Shannon Rae Sgro is 1396790358 and holds a License No. PA15649 (California).

The current practice location address for Shannon Rae Sgro is 1412 Blue Oaks Blvd, Roseville, CA and can be reached out via phone at 916-784-7546 and via fax at 916-784-7548.

Location: 1412 Blue Oaks Blvd, Roseville, CA, 95747-7143
person
Provider Profile Details
NPI Number
1396790358
Provider Name
Shannon Rae Sgro
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
1412 Blue Oaks Blvd, Roseville, CA, 95747-7143
Phone Number
916-784-7546
Fax Number
916-784-7548
Provider Enumeration Date
05/24/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1412 Blue Oaks Blvd
City
State
Zip
95747-7143
Phone Number
916-784-7546
Fax Number
916-784-7548
person
Provider Business Mailing Address Details
Address
1412 Blue Oaks Blvd
City
State
Zip
95747-7143
Phone Number
916-784-7546
Fax Number
916-784-7548
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA15649 (California)
Definition
Definition to come...
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