HomeNPI Verification

NPI Verification

National Provider Identifier: 1477057883

Shannon Altazan, DO

Individual Provider

Credentials

Primary Specialty

Emergency Medicine

Code: 207P00000X

All Specialties (3)

Emergency Medicine

Code: 207P00000X

Primary

Emergency Medicine

Code: 207P00000X

Family Medicine

Code: 207Q00000X

Practice Address

1467 TORNES RD

LOWELL, OH 457447187

Phone: 225-802-2197

NPI Enumeration Date

March 20, 2018

NPI Number

1477057883

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry