DR. Shannon B Rider, MD

NPI #1508846429 in Harrisburg, Illinois

Provider Information

NPI Number: 1508846429
Entity Type: Individual
Name: DR. Shannon B Rider, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: MD
Enumeration Date: Jan 18, 2006
Last Updated: Feb 1, 2021

Practice Location

Address: 117 E CLARK ST
City: Harrisburg
State: Illinois
ZIP Code: 62946-2702
Phone: (618) 252-8625

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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