Organization · Type 2 NPI

Shannon M. Burgess, Od

Medical Specialty Clinic/Center · Phoenixville, PA

NPI number 1275835829 Active

Practice location

1260 Valley Forge Rd, Suite 108
Phoenixville, PA 19460-2691

Fax (610) 917-0708

Specialties and licenses

TaxonomyCodeLicense
Medical Specialty Clinic/Center Primary 261QM2500XOEG000127 (PA)

Medical Specialty Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

9 other providers at this address

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About NPI 1275835829

Shannon M. Burgess, Od's National Provider Identifier is 1275835829, issued on Dec 1, 2010. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in Phoenixville, PA. The record was last updated on Aug 25, 2011.