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Dr. Shannon Wayne Altazan, DO
Emergency Medicine Physician in Charleston, West Virginia
NPI 1477057883

Shannon Wayne Altazan is a Emergency Medicine Physician based in Charleston, WV. Shannon Wayne Altazan practices in Charleston, WV and has the professional credentials of DO. The NPI Number for Shannon Wayne Altazan is 1477057883 and holds a License No. 3742 (West Virginia).

The current practice location address for Shannon Wayne Altazan is 3110 Maccorkle Ave Se, Charleston, WV and can be reached out via phone at 304-388-7170.

Location: 3110 Maccorkle Ave Se, Charleston, WV, 25304-1210
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1477057883
Provider Name
Shannon Wayne Altazan
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
3110 Maccorkle Ave Se, Charleston, WV, 25304-1210
Phone Number
304-388-7170
Fax Number
Provider Enumeration Date
03/20/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0485813 05 OH
institution
Provider Business Practice Location Address Details
Address
3110 Maccorkle Ave Se
City
Charleston
State
West Virginia
Zip
25304-1210
Phone Number
304-388-7170
Fax Number
person
Provider Business Mailing Address Details
Address
3110 Maccorkle Ave Se
City
Charleston
State
West Virginia
Zip
25304-1210
Phone Number
304-388-7170
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
-
Taxonomy
207P00000X
License No.
3742 (West Virginia)
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
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