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Organization
WILLIAM SHANAHAN
Active
Organization
WILLIAM SHANAHAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM JAMES SHANAHAN MD (PHYSICIAN)
(850) 484-8448
Entity
Organization
Contact information
Practice address
4531 N DAVIS HWY, PENSACOLA, FL 32503-2770
(850) 484-8448
(850) 479-3258
Mailing address
4531 N DAVIS HWY, PENSACOLA, FL 32503-2770
(850) 484-8448
(850) 479-3258
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME0032249
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
061290100
—
FL
Enumeration date
01/15/2013
Last updated
01/15/2013
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