Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SHANNON MENTOCK, MD
ActiveDR. SHANNON MENTOCK, MD is a Family Medicine healthcare provider located in PETALUMA, California. NPI 1104353796 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · PETALUMA, CA
Registration Details
- NPI Number
- 1104353796
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 15, 2017 (9.2625741885089 yrs)
- Last Updated
- Mar 21, 2022
- Licenses
-
DR.0063003 (CO)174978 (CA)
Practice Information
- Address
-
1179 N MCDOWELL BLVDPETALUMA, CA, 949546559Browse CA providers · Browse ZIP 94954
- Phone
- 7075597500
- Fax
- 7075597620
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in PETALUMA, CA
| Name | Credential | NPI |
|---|---|---|
| DR. MICHELLE DAVEY | DO | 1366445785 |
| DANIEL G WHITE | MD | 1013919190 |
| DANIELLE ORYN | D.O. | 1376535070 |
| KELLY PFEIFER | M.D. | 1083606776 |
| AUDRA LEHMAN | M.D. | 1063404762 |
| JOHN PENDLETON | M.D. | 1326030024 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.