Individual
DR. SHANNON H COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
215 S PARKSIDE DR STE 215, COLORADO SPRINGS, CO 80910-3131
(303) 338-4545
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
051761
GA
208000000X
Pediatrics Physician
Primary
DR.0036504
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00966864A
—
GA
05
—
00966864B
—
GA
05
—
00966864C
—
GA
01
—
010998
KAISER COMMERCIAL NUMBER
CO
Enumeration date
09/22/2006
Last updated
04/20/2021
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