Individual
GREGORY L. SHANNON
Active
Individual
GREGORY L. SHANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
036-107804
IL
174400000X
Specialist
2001-1396
NC
207RG0100X
Gastroenterology Physician
Primary
K7479
TX
Other
Enumeration date
03/21/2006
Last updated
09/26/2023
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