Susan Shotts RT (R)
Diagnostic Radiology Physician in Gilbert, AZ(View on Map)
Full Name
Susan Shotts RT (R)
NPI Number
1295345783
NPI Type
Individual Provider
Gender
Female
Enumeration Date
08/09/2020
Specialties
(Taxonomies)Licenses
State
Arizona
License Number
CRT18236
Contact
Information
Purpose
Mailing
Location
Address
555 S 107TH ST
861 N HIGLEY RD STE B101
City
Mesa
Gilbert
State
AZ
AZ
Postal Code
85208-5703
85234-9602
Country
US
US
Telephone Number
(484) 272-4239
(480) 813-9600
Identifiers
Identifier
CRT18236
Identifier State
AZ
Identifier Issuer
STATE F AZ LICENSE
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 08/09/2020