DR. SHANNON MENTOCK, MD

Family Medicine

Active Individual
NPI: 1104353796

Practice Address

1179 N MCDOWELL BLVD
Petaluma, CA 94954

Phone: (707) 559-7500

Specialties

Specialty Code Primary License
Student in an Organized Health Care Education/Training Program 390200000X No -
Family Medicine 207Q00000X Yes 174978 (CA)

Frequently Asked Questions

NPI 1104353796 is the National Provider Identifier for DR. SHANNON MENTOCK, MD, a Family Medicine provider located in Petaluma, CA. This NPI was enumerated on May 15, 2017.
DR. SHANNON MENTOCK, MD practices at 1179 N MCDOWELL BLVD, Petaluma, CA 94954.

Quick Facts

NPI
1104353796
Type
Individual
Enumerated
May 15, 2017
Last Updated
Mar 21, 2022

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