SHANNON WHITLOCK

PRESCOTT, AZ
NPI1932274578
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: AZ  10942)
Additional Taxonomies363AM0700X Physician Assistant, Medical
(Licence: VA  0110002157)
Enumeration Date2006-11-21
Last Update Date2025-04-24
Business Address
SHANNON WHITLOCK PAC
830 AINSWORTH DR
PRESCOTT, AZ 86301-1630
Phone number: 928-777-5800
Mailing Address
SHANNON WHITLOCK PAC
801 YORK ST
MANITOWOC, WI 54220-4630
Phone number: 920-663-9008