person
Ms. Shannon L. Church, PA
Surgical Physician Assistant in Springfield, Massachusetts
NPI 1164750105

Shannon L. Church is a Surgical Physician Assistant based in Springfield, MA and is specialized in Surgical. Shannon L. Church practices in Springfield, MA and has the professional credentials of PA. The NPI Number for Shannon L. Church is 1164750105 and holds a License No. PA3911 (Massachusetts).

The current practice location address for Shannon L. Church is 271 Carew St, Springfield, MA and can be reached out via phone at 413-748-9349 and via fax at 413-452-6080. You can also correspond with Shannon L. Church through the mailing address at 271 CAREW ST, SPRINGFIELD, MA - 01104-2377 (mailing address contact number: 413-748-9349).

Location: 271 Carew St, Springfield, MA, 01104-2377
person
Provider Profile Details
NPI Number
1164750105
Provider Name
Shannon L. Church
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
271 Carew St, Springfield, MA, 01104-2377
Phone Number
413-748-9349
Fax Number
413-452-6080
Provider Enumeration Date
12/03/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PA3911 01 MA MA PA LICENSE
institution
Provider Business Practice Location Address Details
Address
271 Carew St
City
State
Zip
01104-2377
Phone Number
413-748-9349
Fax Number
413-452-6080
person
Provider Business Mailing Address Details
Address
271 Carew St
City
State
Zip
01104-2377
Phone Number
413-748-9349
Fax Number
413-452-6080
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
PA3911 (Massachusetts)
Definition
Definition to come...
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