Individual
DR. SHANNON WAGNER SIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4800 SAND POINT WAY NE, SEATTLE, WA 98105-3901
(206) 987-2164
Mailing address
4800 SAND POINT WAY NE, SEATTLE, WA 98105-3901
(206) 987-2164
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036.124244
IL
2084P0800X
Psychiatry Physician
125052582
IL
2084P0804X
Child & Adolescent Psychiatry Physician
MD.60385637
WA
Other
Enumeration date
08/05/2008
Last updated
09/12/2013
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