Shannon M. Burgess, Od

NPI #1275835829 in Phoenixville, Pennsylvania

Provider Information

NPI Number
1275835829
Entity Type
Organization
Organization Name
Shannon M. Burgess, Od
Primary Specialty
Clinic/Center - Medical Specialty
Enumeration Date
Dec 1, 2010
Last Updated
Aug 25, 2011

Practice Location

Address
1260 VALLEY FORGE RD
Address 2
SUITE 108
ZIP Code
19460-2691
Phone
(610) 917-0700

Authorized Official

Name
DR. SHANNON M. BURGESS, O.D.
Title
OPTOMETRIST
Phone
(610) 917-0700

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Medical SpecialtyMedical Specialty

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