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Individual
STEVEN SHANNON
Active
Individual
STEVEN SHANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
SC-004744-2
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1009461910001
—
PA
Enumeration date
10/10/2005
Last updated
10/10/2012
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