Individual
MR. DAMON EDWIN SHANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDMT
Contact information
Practice address
5215 FONTAINE LN, SPRINGFIELD, OH 45502-9816
(937) 525-2582
(937) 327-2387
Mailing address
5215 FONTAINE LN, SPRINGFIELD, OH 45502-9816
(937) 525-2582
(937) 327-2387
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
09/09/2009
Last updated
09/09/2009
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