Individual
JOHN R SHANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
1900 ELECTRIC RD, SALEM, VA 24153-7474
(540) 772-7200
Mailing address
PO BOX 13888, ROANOKE, VA 24038-3888
(540) 772-7200
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
0101048802
VA
Other
Enumeration date
07/21/2006
Last updated
02/14/2008
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