# SHANNON CHRISTINE ROBERTS

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

## Provider details

- **NPI number:** 1396797239
- **Gender:** F
- **Credential:** MD FACOG

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 6698A | WY | Yes |

## Other

- **Enumeration date:** 05/17/2006
- **Last updated:** 12/13/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 117467300 | — | WY |
