NPI 1457073934

Shana Marie Stewart

Practitioner Prosthetic/Orthotic Supplier Dallas, TX

Practice location

Address: 3600 Commerce St APT 105, Dallas, TX 75226-1797
Phone: (618) 767-0652

Registered specialties

Prosthetic/Orthotic Supplier Primary

Suppliers Taxonomy 335E00000X

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Registry record

NPI: 1457073934
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Sep 2022
Record last updated: 13 Sep 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.