Individual
SHAWNA MARIE DAAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9197 GRANT ST, SUITE 200, THORNTON, CO 80229-4361
(303) 450-3690
Mailing address
9197 GRANT ST, SUITE 200, THORNTON, CO 80229-4361
(303) 450-3690
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
50127
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
500127
COLORADO MEDICAL LICENSE
CO
Enumeration date
04/13/2008
Last updated
02/24/2016
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