Clarence Shannon IV MD

NPI 1851516165 - Anesthesiology - 207L00000X

NPI Details
NPI 1851516165
Gender Male
Enumeration Date 04/13/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
6900 GEORGIA AVE, NW , WARD 44
WRAMC DEPARTMENT OF SURGERY
WASHINGTON DC, 20307-5001, US
Phone (202) 782-0039
Fax
Business Location
3818 MONTROSE DRIVEWAY
CHEVY CHASE MD, 20815-4702, US
Phone (301) 656-8772
Fax
Toxanomy
Taxonomy Code 207L00000X
License State Georgia
License Number 044586
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According to our database, Dr. Clarence Shannon IV MD NPI is 1851516165, taxonomy code is 207L00000X and license number is 044586, license state is located at Georgia. Clarence Shannon IV MD physically located at 6900 Georgia Ave, Nw , Ward 44, Washington DC, 20307-5001. NPI Number Clarence Shannon IV MD has the Individual type.

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1851516165 NPI number is provided on an as is basis without warranty of any kind. 1851516165 is maintained by the National Plan & Provider Enumeration System. The contents of Clarence Shannon IV MD are for informational purposes only.