Individual
DR. MASON SIDNEY SHAMIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2121 E HARMONY RD, SUITE 370, FORT COLLINS, CO 80528-3400
(970) 221-2290
(970) 221-2293
Mailing address
3702 AUTOMATION WAY, SUITE 103, FORT COLLINS, CO 80525-5737
(970) 224-1670
(970) 495-6218
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
47000
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
18050867
—
CO
01
—
COAAA1097
MEDICARE ID
CO
Enumeration date
06/04/2008
Last updated
11/03/2014
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