Individual
AARON M. SHUPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1008 MINNEQUA AVE, SUITE #1124, PUEBLO, CO 81004-3733
(719) 557-5872
(719) 557-4780
Mailing address
1008 MINNEQUA AVE, SUITE #1124, PUEBLO, CO 81004-3733
(719) 557-5872
(719) 557-4780
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
TL.0004839
CO
Other
Enumeration date
06/17/2013
Last updated
06/17/2013
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