Organization
RYAN T SHANNON MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN TAYLOR SHANNON MD (PHYSICIAN)
(480) 425-2160
Entity
Organization
Contact information
Practice address
7600 N 15TH ST STE 290, PHOENIX, AZ 85020-4336
(602) 395-0718
(602) 277-8146
Mailing address
PO BOX 41150, MESA, AZ 85274-1150
(480) 425-2160
(480) 839-4727
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
43015
AZ
Other
Enumeration date
05/15/2013
Last updated
05/03/2023
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