IndividualActive
Charles Shannon, MD
NPI 1619959384 · Gastroenterology Physician · Anchorage, AK
Provider details
- NPI number
- 1619959384
- Entity type
- Individual
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 2099 (AK)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
2841 Debarr Road
Suite 50
Anchorage, AK 99508-2932
Phone: (907) 276-2811
Fax: (907) 276-2810
Approximate (ZIP-level) locationGet directions
Mailing address
2841 Debarr Road
Anchorage, AK 99508-2932
Registry dates
- Enumerated
- 2005-11-17
- Last updated
- 2013-04-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.