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Individual

DR. SHANNON GRACE FARMAKIS

Active
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Individual

DR. SHANNON GRACE FARMAKIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
M-14782
ID
2085P0229X
Pediatric Radiology Physician
MD60962082
WA
2085R0202X
Diagnostic Radiology Physician
0444325
KS
2085R0202X
Diagnostic Radiology Physician
Primary
200813456
MO
2085R0202X
Diagnostic Radiology Physician
M-14782
ID

Other

Enumeration date
06/05/2007
Last updated
11/17/2022
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