NPI 1083819650

Shannon R Peck, MD

Practitioner Diagnostic Radiology Physician Sioux Falls, SD

Practice location

Address: 1210 W 18th St STE Ll03, Sioux Falls, SD 57104-4647
Phone: (605) 328-1410
Fax: (605) 328-1412
Mailing address: PO Box 5074, Sioux Falls, SD 57117-5074

Registered specialties (2)

Diagnostic Radiology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2085R0202X Licence 8389 (SD)

Other Radiology providers in South Dakota →

Vascular & Interventional Radiology Physician

Allopathic & Osteopathic Physicians Taxonomy 2085R0204X Licence 8389 (SD)

Registry record

NPI: 1083819650
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Jun 2007
Record last updated: 8 Sep 2025

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.