Kristopher R Shannon LLC

NPI #1598369357 in Price, Utah

Provider Information

NPI Number: 1598369357
Entity Type: Organization
Organization Name: Kristopher R Shannon LLC
Primary Specialty: Emergency Medicine
Enumeration Date: Nov 23, 2020
Last Updated: Apr 7, 2021

Practice Location

Address: 300 NORTH HOSPITAL DR
Address 2: EMERGENCY DEPARTMENT
City: Price
State: Utah
ZIP Code: 84501
Phone: (435) 637-4800

Authorized Official

Name: DR. KRISTOPHER RYAN SHANNON, MD
Title: PHYSICIAN
Phone: (435) 636-4864

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X	Primary

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