person
Mr. Mark Jay Shannon, PA
Medical Physician Assistant in Sacramento, California
NPI 1225367519

Mark Jay Shannon is a Medical Physician Assistant based in Sacramento, CA and is specialized in Medical. Mark Jay Shannon practices in Sacramento, CA and has the professional credentials of PA. The NPI Number for Mark Jay Shannon is 1225367519 and holds a License No. PA12702 (California).

The current practice location address for Mark Jay Shannon is 1201 Alhambra Blvd, Sacramento, CA and can be reached out via phone at 916-733-5090 and via fax at 916-733-5062. You can also correspond with Mark Jay Shannon through the mailing address at 10470 OLD PLACERVILLE RD, SACRAMENTO, CA - 95827-2539 (mailing address contact number: 800-470-0071).

Location: 1201 Alhambra Blvd, Sacramento, CA, 95827-2539
person
Provider Profile Details
NPI Number
1225367519
Provider Name
Mark Jay Shannon
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
1201 Alhambra Blvd, Sacramento, CA, 95827-2539
Phone Number
916-733-5090
Fax Number
916-733-5062
Provider Enumeration Date
12/15/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1201 Alhambra Blvd
City
State
Zip
95816-5238
Phone Number
916-733-5090
Fax Number
916-733-5062
person
Provider Business Mailing Address Details
Address
1201 Alhambra Blvd
City
State
Zip
95816-5238
Phone Number
916-733-5090
Fax Number
916-733-5062
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA12702 (California)
Definition
Definition to come...
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