Individual
MR. BRIAN L SHANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 MEDICAL CENTER DRIVE, LEVEL 1, HSC SOUTH, MORGANTOWN, WV 26506-9152
(304) 288-4096
Mailing address
PO BOX 9152, MORGANTOWN, WV 26506-9152
(304) 288-4096
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT001171
WV
Other
Enumeration date
07/13/2012
Last updated
07/13/2012
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