NPI | 1093019887 |
---|---|
Doing Business As | SHANNON MCNALLY-VELASQUEZ, MD |
Entity Type | Organization |
Authorized Contact | SHANNON MCNALLY-VELASQUEZ Owner 330-729-2195 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35077508) |
Enumeration Date | 2011-01-07 |
Last Update Date | 2011-06-10 |