IndividualActive
Shannon Tew, M.D.
NPI 1679717375 · Pediatric Anesthesiology Physician · Salt Lake City, UT
Provider details
- NPI number
- 1679717375
- Entity type
- Individual
- Primary specialty
- Pediatric Anesthesiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 2013-01302 (NC)
Practice location
100 N Mario Capecchi Dr
Salt Lake City, UT 84113-1103
Phone: (801) 662-3578
Fax: (801) 662-3583
Mailing address
100 N Mario Capecchi Dr
Salt Lake City, UT 84113-1103
Registry dates
- Enumerated
- 2009-04-24
- Last updated
- 2023-01-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.