| Shannon Mcnally-velasquez, Md | |
|
1039 Boardman Canfield Rd Youngstown OH 44512-4228 | |
| (330) 729-2195 | |
| (330) 729-2356 |
| Full Name | Shannon Mcnally-velasquez, Md |
|---|---|
| Speciality | Internal Medicine |
| Location | 1039 Boardman Canfield Rd, Youngstown, Ohio |
| Authorized Official Name and Position | Shannon Mcnally-velasquez (OWNER) |
| Authorized Official Contact | 3307292195 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shannon Mcnally-velasquez, Md 1039 Boardman Canfield Rd Youngstown OH 44512-4228 Ph: (330) 729-2195 | Shannon Mcnally-velasquez, Md 1039 Boardman Canfield Rd Youngstown OH 44512-4228 Ph: (330) 729-2195 |
| NPI Number | 1093019887 |
|---|---|
| Provider Enumeration Date | 01/07/2011 |
| Last Update Date | 06/10/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093019887 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 35077508 (Ohio) | Primary |
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