Mary Ann Shannon
Orthopaedic Surgery in Las Vegas, NV. Individual provider (NPI-1).
NPI number1679562425
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1679562425
- Entity type
- Individual (NPI-1)
- Name
- Ms. Mary Ann Shannon
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 14, 2005
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | D60887 | NV | Yes |
Practice location
501 S Rancho DrSuite I-67
Las Vegas, NV 89106-4828
Phone 702-243-4700 · Fax 702-243-7074
Mailing address
501 S Rancho DrSuite I67
Las Vegas, NV 89106-4828
Phone 702-243-4700 · Fax 702-243-7074
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