Individual
DR. ROBERT L SHANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1303 NE CUSHING DR, SUITE 100, BEND, OR 97701-3887
(541) 388-2333
(541) 388-0930
Mailing address
1303 NE CUSHING DR, SUITE 100, BEND, OR 97701-3887
(541) 388-2333
(541) 318-0373
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
12/06/2005
Last updated
09/11/2018
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