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Individual

DR. JOHN P SHANNON JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
2401 E 42ND AVE, SUITE204, ANCHORAGE, AK 99508-5205
(907) 563-6761
(907) 562-8587
Mailing address
2401 E 42ND AVE, SUITE204, ANCHORAGE, AK 99508-5205
(907) 563-6761
(907) 562-8587

Taxonomy

Speciality
Code
Description
License number
State
111NN0400X
Neurology Chiropractor
Primary
300
AK

Other

Enumeration date
10/12/2006
Last updated
07/08/2007
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