Individual
ALEXANDER HARLAND SHANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4815 LIBERTY AVE STE 300, PITTSBURGH, PA 15224-2156
(833) 246-7662
Mailing address
4815 LIBERTY AVE STE 300, PITTSBURGH, PA 15224-2156
(833) 246-7662
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD484832
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16266908
CAQH
—
Enumeration date
04/06/2015
Last updated
08/01/2024
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