SHANNON COSTELLO

PHOENIX, AZ
NPI1144865171
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: AZ  7559)
Enumeration Date2019-11-13
Last Update Date2019-11-13
Business Address
SHANNON COSTELLO PA-C
10240 W INDIAN SCHOOL RD BLDG 2
PHOENIX, AZ 85037-5904
Phone number: 312-465-7900
Mailing Address
SHANNON COSTELLO PA-C
1417 E OXFORD LN
GILBERT, AZ 85295-4945
Phone number: 480-432-4349
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