Shannon, Moira

Shannon, Moira is an individual health care provider with primary practice located at 2500 N Silverbell Rd Suite 100, Tucson AZ 85745-7062. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Occupational Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is her primary health care specialty. Shannon, Moira can be contacted via phone (520) 777-2288.

Contact Information

Primary practice address
2500 N Silverbell Rd Suite 100 Tucson AZ 85745-7062
Phone: (520) 777-2288
Fax: (520) 777-2290
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Occupational Medicine 2083X0100X 12820 Arizona
Allopathic & Osteopathic Physicians / General Practice 208D00000X 12820 Arizona

Profile Details

NPI number 1346228996
LBN Legal business name Shannon, Moira
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2006
Last updated Jul 22nd, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346228996 NPPES
Arizona MEDICAID 246521

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