Gary W Shannon MD

NPI 1043361694 - Family Medicine - 207Q00000X

NPI Details
NPI 1043361694
Gender Male
Enumeration Date 01/12/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
403 N L ST
DINUBA CA, 93618, US
Phone (559) 591-2232
Fax (559) 591-4302
Business Location
403 N L ST
DINUBA CA, 93618, US
Phone (559) 591-2232
Fax (559) 591-4302
Toxanomy
Taxonomy Code 207Q00000X
License State California
License Number A036881
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According to our database, Gary W Shannon MD NPI is 1043361694, taxonomy code is 207Q00000X and license number is A036881, license state is located at California. Gary W Shannon MD physically located at 403 N L St, Dinuba CA, 93618. NPI Number Gary W Shannon MD has the Individual type.

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1043361694 NPI number is provided on an as is basis without warranty of any kind. 1043361694 is maintained by the National Plan & Provider Enumeration System. The contents of Gary W Shannon MD are for informational purposes only.