Shannon Herzog, CCP
Shannon Herzog, CCP is a Perfusionist in Mesa, Arizona. Registered with an NPI since 2012.
- In the registry since
- 2012
Practice location Address checks out
1830 S Alma School Rd Ste 108Mesa, AZ 85210-3056
Phone: (480) 248-3000
Fax: (480) 248-3050
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Perfusionist (primary) | Taxonomy 242T00000X |
|---|
Record details
| NPI number | 1881945962 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | CCP |
| Sole proprietor | No |
| NPI enumerated | September 28, 2012 |
| Last updated in NPPES | September 28, 2012 |
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James Ferguson, CCP
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