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Patrick L. Shannon, MD
Specialist in Boardman, Ohio
NPI 1316933260

Patrick L. Shannon is a Specialist based in Boardman, OH. Patrick L. Shannon practices in Boardman, OH and has the professional credentials of MD. The NPI Number for Patrick L. Shannon is 1316933260 and holds a License No. 35076264S (Ohio).

The current practice location address for Patrick L. Shannon is 987 Boardman Canfield Rd, Boardman, OH and can be reached out via phone at 330-965-8760 and via fax at 330-965-9325.

Location: 987 Boardman Canfield Rd, Boardman, OH, 44512-4222
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1316933260
Provider Name
Patrick L. Shannon
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
987 Boardman Canfield Rd, Boardman, OH, 44512-4222
Phone Number
330-965-8760
Fax Number
330-965-9325
Provider Enumeration Date
09/26/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
97198 01 OH QUALCHOICE
0300914 01 OH UNITED HEALTHCARE
institution
Provider Business Practice Location Address Details
Address
987 Boardman Canfield Rd
City
Boardman
State
Ohio
Zip
44512-4222
Phone Number
330-965-8760
Fax Number
330-965-9325
person
Provider Business Mailing Address Details
Address
987 Boardman Canfield Rd
City
Boardman
State
Ohio
Zip
44512-4222
Phone Number
330-965-8760
Fax Number
330-965-9325
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
35076264S (Ohio)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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