Individual
DR. SHANON ALEX FORSETER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2055 N HIGH ST STE 230, DENVER, CO 80205-5507
(303) 200-1131
(303) 839-7761
Mailing address
5314 STONEYBROOK DR, BROOMFIELD, CO 80020-6167
(314) 757-1332
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
2002023834
MO
207V00000X
Obstetrics & Gynecology Physician
Primary
60580
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200790301
—
MO
Enumeration date
07/31/2006
Last updated
06/19/2020
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