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NPI Code Detail

MEDICARE: DR. SHANNA TREANOR MD

MEDICARE: DR. SHANNA TREANOR MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207NP0225XPediatric Dermatology PhysicianA70557CA
2208000000XPediatrics PhysicianA70557CA
3207N00000XDermatology PhysicianA70557CA

General Provider Information

NPI Number : 1700895018
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SHANNA TREANOR MD
Provider Business Mailing Address
First Line : 5101 COMMERCE DR
Second Line : SUITE 101
City : BAKERSFIELD
State : CA
Zip : 93309-0411
Country : US
Telephone Number : 661-327-3756
Fax Number : 661-327-2332
Provider Business Practice Location Address
First Line : 5101 COMMERCE DR
Second Line : SUITE 101
City : BAKERSFIELD
State : CA
Zip : 93309-0411
Country : US
Telephone Number : 661-327-3756
Fax Number : 661-327-2332
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/05/2006
Last Update Date : 12/01/2021

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