Individual
ANN SHALLCROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
450 STUDENT HEALTH CENTER, UNIVERSITY PARK, PA 16802
(814) 863-8873
(814) 863-8464
Mailing address
450 STUDENT HEALTH CENTER, UNIVERSITY PARK, PA 16802
(814) 863-8873
(814) 863-8464
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD-023756-E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SH26213
BLUE SHIELD
PA
Enumeration date
03/26/2007
Last updated
07/15/2008
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