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Individual

SHANNON HARRIS VANANTWERP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
760 WICKS LN, BILLINGS, MT 59105-4427
(406) 238-2900
Mailing address
PO BOX 35100, BILLINGS, MT 59107-5100

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MED-PAC-LIC-117108
MT

Other

Enumeration date
10/20/2022
Last updated
11/19/2024
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