Dr. KRISTOPHER RYAN SHANNON M.D.
Individual Provider (NPI-1)
Active
Emergency Medicine
Provider Information
- NPI Number
1063807022- Provider Type
- Individual Provider (NPI-1)
- Credentials
- M.D.
- Status
- Active
Contact & Location
- Address
- 850 YELLOWSTONE AVE, POCATELLO, ID, 832014415
- Phone
- (208) 239-8065
Specialties & Taxonomies
Emergency Medicine
Primary License: ID #M-16351
Emergency Medicine
License: UT #12009729-1205
Emergency Medicine
License: NV #17765
Clinic/Center, Urgent Care
License: ID #M-16351