Shannon Clarke Campbell Nedelk in Rochester - Diagnostic Radiology

Shannon Clarke Campbell Nedelk - NPI 1174514509

Shannon Clarke Campbell Nedelk is a Diagnostic Radiology in Rochester, New Hampshire. Shannon Clarke Campbell Nedelk practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Shannon Clarke Campbell Nedelk is 1174514509. The last update date is 2007-12-20.

Shannon Clarke Campbell Nedelk's current location address is 7 Dreyer Way, Rochester, New Hampshire. You can contact this provider via phone number 6033326413 and fax number 6033351076. The mailing address for Shannon Clarke Campbell Nedelk is 7 Dreyer Way, Rochester, New Hampshire. To know further, please read the information below!

Provider Profile Detail

Provider Name Shannon Clarke Campbell Nedelk
Address 7 Dreyer Way, Rochester, New Hampshire
Phone Number 6033326413
Fax Number 6033351076
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1174514509
Provider Enumeration Date 2005-11-03
Last Updated Date 2007-12-20

Provider Mailing Address Detail

Address 7 Dreyer Way
City Rochester
State New Hampshire (NH)
Post Code 38672775
Phone Number 6033326413
Fax Number 6033351076

Provider's Primary Taxonomy Detail

Speciality Diagnostic Radiology
Taxonomy 2085R0202X
Licence No 12807
Definition:
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
30205273 NH --
01Y008533NH01 NH ANTHEM BCBS

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FAQs about Shannon Clarke Campbell Nedelk

What is the unique provider identifier assigned to Shannon Clarke Campbell Nedelk?

The Shannon Clarke Campbell Nedelk has been issued the NPI (National Provider Identifier) 1174514509 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical location address where Shannon Clarke Campbell Nedelk's facilities are situated?

The facilities of Shannon Clarke Campbell Nedelk are physically located at the following address: 7 Dreyer Way, Rochester, NH, 38672775.

What is Shannon Clarke Campbell Nedelk's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Shannon Clarke Campbell Nedelk's specialized field of practice is Diagnostic Radiology, and the corresponding taxonomy code that categorizes this area of specialization is 2085R0202X.

When was the Shannon Clarke Campbell Nedelk's 1174514509 issued?

The Shannon Clarke Campbell Nedelk's 1174514509 was issued on 2005-11-03.

As of what date were the details pertaining to Shannon Clarke Campbell Nedelk last refreshed?

The information related to the Shannon Clarke Campbell Nedelk, including its address, specialty, and other relevant details, was last updated on 2007-12-20.

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