NPI 1043327562

Randall J Shannon, MD

Practitioner Anatomic Pathology & Clinical Pathology Physician Butte, MT

Practice location

Address: 400 S Clark St, Butte, MT 59701-2328
Phone: (406) 782-7442
Mailing address: PO Box 4108, Butte, MT 59702-4108

Registered specialties

Anatomic Pathology & Clinical Pathology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207ZP0102X Licence 8104 (MT)

Other Pathology providers in Montana →

Registry record

NPI: 1043327562
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Aug 2006
Record last updated: 14 Jan 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.