Female

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)

Code

2085R0202X

Primary Taxonomy

Yes

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

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