SHANNON PETUKHOV

ANNAPOLIS, MD
NPI1427402627
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207P00000X Emergency Medicine
(Licence: MD  D0087812)
Enumeration Date2016-04-14
Last Update Date2020-02-06
Business Address
SHANNON PETUKHOV MD
2001 MEDICAL PKWY
ANNAPOLIS, MD 21401-3773
Phone number: 443-481-1366
Mailing Address
SHANNON PETUKHOV MD
110 SOUTH PACA STREET 6 FL. SUITE 200
BALTIMORE, MD 21201-1645
Phone number:
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