Individual
MS. MARY ANN SHANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
501 S RANCHO DR, SUITE I-67, LAS VEGAS, NV 89106-4828
(702) 243-4700
(702) 243-7074
Mailing address
501 S RANCHO DR, SUITE I67, LAS VEGAS, NV 89106-4828
(702) 243-4700
(702) 243-7074
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
D60887
NV
Other
Enumeration date
10/14/2005
Last updated
07/08/2007
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