John P Shannon in Walla Walla - Surgery

John P Shannon - NPI 1982610903

John P Shannon is a Surgery in Walla Walla, Washington. John P Shannon practices all healthcare services and medical treatments related to Surgery. The NPI Number for John P Shannon is 1982610903. The last update date is 2021-03-31.

John P Shannon's current location address is 301 W Poplar, Walla Walla, Washington. You can contact this provider via phone number 5095225825 and fax number 5095293512. The mailing address for John P Shannon is 301 W Poplar, Walla Walla, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Name John P Shannon
Address 301 W Poplar, Walla Walla, Washington
Phone Number 5095225825
Fax Number 5095293512
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1982610903
Provider Enumeration Date 2006-07-31
Last Updated Date 2021-03-31

Provider Mailing Address Detail

Address 301 W Poplar
City Walla Walla
State Washington (WA)
Post Code 99362
Phone Number 5095225825
Fax Number 5095293512

Provider's Primary Taxonomy Detail

Speciality Surgery
Taxonomy 208600000X
Licence No 15136
Definition:
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue;

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1696004 WA --

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FAQs about John P Shannon

What is the John P Shannon's unique identification number?

The John P Shannon has been assigned the NPI (National Provider Identifier) Number 1982610903 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete street address where John P Shannon is physically located?

The John P Shannon is physically situated at the following address: 301 W Poplar, Walla Walla, WA, 99362.

What is John P Shannon's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for John P Shannon is Surgery, and the corresponding taxonomy classification code for this specialized field is 208600000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1982610903 to John P Shannon?

The Centers for Medicare & Medicaid Services assigned the 1982610903 to John P Shannon on 2006-07-31.

As of what date was the information regarding John P Shannon, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to John P Shannon, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2021-03-31.

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