GREGORY D SHANNON

RANCHO MIRAGE, CA
NPI1225049984
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  pa13960)
Enumeration Date2006-08-10
Last Update Date2023-03-07
Business Address
-- GREGORY D SHANNON PA
72780 COUNTRY CLUB DR BLDG B 203
RANCHO MIRAGE, CA 92270-4126
Phone number: 760-674-3847
Mailing Address
-- GREGORY D SHANNON PA
72780 COUNTRY CLUB DR BLDG B 203
RANCHO MIRAGE, CA 92270-4126
Phone number: 760-674-3847
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