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Individual

DR. SHANNON K ALSOP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
150 S WARNER RD STE 310, KING OF PRUSSIA, PA 19406-2860
(773) 292-4800
(312) 564-4059
Mailing address
1340 S DAMEN AVE, SUITE 400, CHICAGO, IL 60608-1169
(773) 292-4800
(312) 564-4059

Taxonomy

Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
OS016023
PA
390200000X
Student in an Organized Health Care Education/Training Program
OT012985
PA

Other

Enumeration date
06/18/2009
Last updated
10/13/2020
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