MR. Shannon Paul Reck, HS, IDMT

NPI #1619015757 in South Portland, Maine

Provider Information

NPI Number: 1619015757
Entity Type: Individual
Name: MR. Shannon Paul Reck, HS, IDMT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician, Other
Credential: HS, IDMT
Enumeration Date: Feb 1, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 259 HIGH STREET
Address 2: US COAST GUARD SECTOR NORTHERN NEW ENGLAND
City: South Portland
State: Maine
ZIP Code: 04106
Phone: (207) 767-0339

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

Similar Providers

Individual Providers

Provider Name	Specialty	City
Robert Merlin Brubaker, HS	Technician, Other	South Portland	AI Deep Dive
Jason Andrew Sedivy, HS	Technician, Other	Southwest Harbor	AI Deep Dive
Lisa Marie Sanders	Technician, Other	Rockland	AI Deep Dive
Zoe Janice Walker	Technician, Other	Bath	AI Deep Dive

Organizations

Provider Name	Specialty	City
Portland Orthopaedic Foot and Ankle Center	Orthopaedic Surgery - Foot and Ankle Surgery	South Portland	AI Deep Dive

Want to research this healthcare provider further?