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Individual

DR. SHANNON L WEST

Active
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Individual

DR. SHANNON L WEST

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
D0057448
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0104
CAREFIRST BCBS- BLUE CHOICE
MD
01
015296
JHHC PRIORITY PARTNERS
MD
01
6063361
AETNA- PPO
MD
01
613036-05
CAREFIRST BCBS OF MARYLAND
MD
01
7510271
AETNA HMO
MD
05
776200300
MD
01
8224818
MAMSI
MD
01
P18945
CAREFIRST BCBS POS
MD
Enumeration date
08/11/2005
Last updated
01/24/2011
About Stedi
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