Individual
DR. BRIAN D SHANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
752 BROOKSHIRE DR, SUITE 3, HERMITAGE, PA 16148-4510
(724) 981-9310
(724) 981-9312
Mailing address
752 BROOKSHIRE DR, SUITE 3, HERMITAGE, PA 16148-4510
(724) 981-9310
(724) 981-9312
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD418206
PA
207X00000X
Orthopaedic Surgery Physician
Primary
MD418206
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019085590010
—
PA
Enumeration date
01/25/2006
Last updated
03/08/2016
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