Individual
SHANNON CLARKE CAMPBELL NEDELKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7 DREYER WAY, ROCHESTER, NH 03867-2775
(603) 332-6413
(603) 335-1076
Mailing address
7 DREYER WAY, ROCHESTER, NH 03867-2775
(603) 332-6413
(603) 335-1076
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
12807
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01Y008533NH01
ANTHEM BCBS
NH
05
—
30205273
—
NH
Enumeration date
11/03/2005
Last updated
12/20/2007
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