Organization
JOHN P. SHANNON JR., D.C, P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN P SHANNON JR. D.C. (OWNER)
(907) 770-3666
Entity
Organization
Contact information
Practice address
4325 LAUREL STREET, #280, ANCHORAGE, AK 99508
(907) 770-3666
(907) 562-0780
Mailing address
5936 KODY DRIVE, ANCHORAGE, AK 99504
(907) 770-3666
(907) 562-0780
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
300
AK
Other
Enumeration date
02/03/2010
Last updated
02/03/2010
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