Individual
SHELDON RAVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4190 E WOODMEN RD STE 100, COLORADO SPRINGS, CO 80920
(719) 632-4455
(719) 633-4613
Mailing address
4190 E WOODMEN RD STE 100, COLORADO SPRINGS, CO 80920-8075
(719) 632-4455
(719) 633-4613
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
18863
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01188630
—
CO
Enumeration date
10/05/2006
Last updated
05/16/2019
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