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Dr. Shannon Altazan, DO

Emergency Medicine in Marietta, OH. Individual provider (NPI-1).

NPI number1477057883
StatusActive
Last updated in NPPESOct 26, 2026

Details

NPI
1477057883
Entity type
Individual (NPI-1)
Name
Dr. Shannon Altazan
Credential
DO
Sex
Male
Sole proprietor
Yes
Enumeration date
Mar 20, 2018
Certification date
Oct 26, 2026
Last updated
Oct 26, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207P00000X Emergency Medicine34.015793OHYes
207P00000X Emergency Medicine3742WV
207Q00000X Family Medicine34.015793OH

Practice location

401 Matthew St
Marietta, OH 45750-1635

Phone 740-376-1939 · Fax 740-374-1693

Mailing address

1467 Tornes Rd
Lowell, OH 45744-7187

Phone 225-802-2197

Other practice locations

224 Pike St
Marietta, OH 45750-3319

Phone 740-373-3960 · Fax 740-373-3965

800 Wheeling Ave
Glen Dale, WV 26038-1660

Phone 304-843-3313

206 Columbus Rd
Athens, OH 45701-1316

Phone 740-885-4064 · Fax 740-885-4027

1106 Colegate Dr
Marietta, OH 45750-1323

Phone 740-568-2000 · Fax 740-568-2096

799 Farson St
Belpre, OH 45714-1082

Phone 740-401-1157 · Fax 740-401-1155

1006 Washington Blvd Ste G
Belpre, OH 45714-4005

Phone 740-423-3240 · Fax 740-401-0440

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