Organization
SHAVONNE L. DANNER, M.D., L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAVONNE DANNER MD (OWNER)
(816) 407-2028
Entity
Organization
Contact information
Practice address
2525 GLENN HENDEN DR, LIBERTY, MO 64068
(816) 407-2028
(816) 407-4606
Mailing address
PO BOX 455, LIBERTY, MO 64069-0455
(816) 407-2028
(816) 407-4606
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
10/05/2007
Last updated
02/19/2010
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