Organization
KRISTOPHER R SHANNON LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRISTOPHER RYAN SHANNON MD (PHYSICIAN)
(435) 636-4864
Entity
Organization
Contact information
Practice address
300 NORTH HOSPITAL DR, EMERGENCY DEPARTMENT, PRICE, UT 84501
(435) 637-4800
Mailing address
CASTLEVIEW HOSPITAL, EMERGENCY DEPARTMENT, 300 N HOSPITAL DR, PRICE, UT 84501-4218
(435) 636-4864
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
11/23/2020
Last updated
04/07/2021
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