Provider Demographics
NPI:1669504429
Name:PARSON, SHAUN DELANEY (MD)
Entity Type:Individual
Prefix:DR
First Name:SHAUN
Middle Name:DELANEY
Last Name:PARSON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10210 N 92ND ST STE 200
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85258-4524
Mailing Address - Country:US
Mailing Address - Phone:480-282-8386
Mailing Address - Fax:480-314-2011
Practice Address - Street 1:10210 N 92ND ST STE 200
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85258-4524
Practice Address - Country:US
Practice Address - Phone:480-282-8386
Practice Address - Fax:480-314-2011
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ27008174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ28305Medicare ID - Type Unspecified
AZG47679Medicare UPIN