Individual provider · Type 1 NPI

Steven Shannon, DPM

Foot & Ankle Surgery Podiatrist · Philadelphia, PA

NPI number 1669460101 Active

Practice location

3801 Market St, Mab #111
Philadelphia, PA 19104-3153

Fax (215) 243-8818

Specialties and licenses

TaxonomyCodeLicense
Foot & Ankle Surgery Podiatrist Primary 213ES0103XSC-004744-2 (PA)

Foot & Ankle Surgery Podiatrist: Definition to come...

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About NPI 1669460101

Steven Shannon, DPM's National Provider Identifier is 1669460101, issued on Oct 10, 2005. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Philadelphia, PA. The record was last updated on Oct 10, 2012.