# DR. SHANNON PENICK PRYOR

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1164598348
- **Gender:** F
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Y00000X | Otolaryngology Physician | 0101241142 | VA | — |
| 207Y00000X | Otolaryngology Physician | D0053881 | MD | Yes |
| 207YX0602X | Otolaryngic Allergy Physician | 38383 | CO | — |
| 207YX0602X | Otolaryngic Allergy Physician | MD33647 | DC | — |

## Other

- **Enumeration date:** 11/28/2006
- **Last updated:** 11/16/2011