Individual
SHANNON L STATON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
6179 S BALSAM WAY, SUITE 110, LITTLETON, CO 80123-3091
(303) 948-1570
(303) 972-6871
Mailing address
6179 S BALSAM WAY, SUITE 110, LITTLETON, CO 80123-3091
(303) 948-1570
(303) 972-6871
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2093
CO
Other
Enumeration date
01/30/2006
Last updated
07/08/2007
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