Individual
EDWARD SHUHERK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12790 W ALAMEDA PKWY, LAKEWOOD, CO 80228-2859
(303) 403-6350
(303) 403-6372
Mailing address
12790 W ALAMEDA PKWY, LAKEWOOD, CO 80228-2859
(303) 403-6350
(303) 403-6372
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
37303
IA
207Q00000X
Family Medicine Physician
R7704
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0469940
—
IA
05
—
1033166251
—
IA
01
—
P00741121
RR MEDICARE
IA
Enumeration date
05/31/2006
Last updated
06/06/2019
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