Individual
DR. TIM PAUL SHANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
N.D.
Contact information
Practice address
205 CLARK PL SE, TUMWATER, WA 98501-4062
(360) 570-0401
(360) 570-2060
Mailing address
205 CLARK PL SE, TUMWATER, WA 98501-4062
(360) 570-0401
(360) 570-2060
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
NT60332027
WA
Other
Enumeration date
11/19/2008
Last updated
03/14/2014
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