Individual provider · Type 1 NPI

Shannon Mentock, MD

Family Medicine Physician · Petaluma, CA

NPI number 1104353796 Active

Practice location

1179 N Mcdowell Blvd
Petaluma, CA 94954-6559

Call (707) 559-7500 Map

Fax (707) 559-7620

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Family Medicine Physician 207Q00000XDR.0063003 (CO)
Family Medicine Physician Primary 207Q00000X174978 (CA)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1104353796

Shannon Mentock, MD's National Provider Identifier is 1104353796, issued on May 15, 2017. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Petaluma, CA. The record was last updated on Mar 21, 2022.