Individual
DR. SHANNON RENEE BLACKMER
Active
Individual
DR. SHANNON RENEE BLACKMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M. D.
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
0101250670
VA
208D00000X
General Practice Physician
A97553
CA
Other
Enumeration date
11/20/2006
Last updated
10/06/2021
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