Individual
THOMAS E SHONKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1400 28TH ST, SUITE 2, BOULDER, CO 80303-1096
(303) 449-2000
(303) 449-9475
Mailing address
1400 28TH ST, SUITE 2, BOULDER, CO 80303-1096
(303) 449-2000
(303) 449-9475
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
CO335
CO
213ES0000X
Sports Medicine Podiatrist
Primary
CO335
CO
213ES0103X
Foot & Ankle Surgery Podiatrist
CO335
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01003359
—
CO
01
—
841514106 002
ROCKY MNT HEALTH PLANS
CO
01
—
841514106 03
PACIFICARE PROVIDER #
CO
01
—
SH36054
BCBS PROVIDER #
CO
Enumeration date
08/12/2006
Last updated
10/17/2011
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