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SHANNON DIEFFENDERFER
Physician Assistant
NPI: 1861048530IndividualAccepts Medicare
Specialties, Licenses & Credentials
Physician AssistantPrimary
Physician Assistant
Code: 363A00000X
10117(GA)172156(AK)
Student in an Organized Health Care Education/Training Program
Student in an Organized Health Care Education/Training Program
Code: 390200000X
CMS Specialties
PrimaryPHYSICIAN ASSISTANT
Education
PHILADELPHIA COL OF OSTEO MED, SEWANEE
Class of 2020
Contact & Hours
Via practice · 2 locations total
- Address
- 4100 LAKE OTIS PKWY STE 108
ANCHORAGE, AK 99508 - Phone
- (907) 563-3145
Quick Facts
- NPI
- 1861048530
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Accepted
- Specialties
- 3
- Locations
- 2
- Years in Practice
- 6
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