BRIAN L SHANNON

MORGANTOWN, WV
NPI1740535939
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: WV  AT001171)
Enumeration Date2012-07-13
Last Update Date2012-07-13
Business Address
Mr. BRIAN L SHANNON
1 MEDICAL CENTER DRIVE LEVEL 1, HSC SOUTH
MORGANTOWN, WV 26506-9152
Phone number: 304-288-4096
Mailing Address
Mr. BRIAN L SHANNON
PO BOX 9152
MORGANTOWN, WV 26506-9152
Phone number: 304-288-4096