Individual
DR. PATRICK ROBERT SHANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
835 HOSPITAL ROAD, EMERGENCY DEPARTMENT, INDIANA, PA 15701-0788
(724) 357-7121
(724) 357-7479
Mailing address
835 HOSPITAL ROAD, PO BOX 788, INDIANA, PA 15701-0788
(724) 357-7009
(724) 357-7414
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OS-013700
PA
207Q00000X
Family Medicine Physician
OS13700
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101693968 0001
—
PA
01
—
1878424
HIGHMARK
PA
Enumeration date
07/06/2006
Last updated
04/14/2025
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