Individual
SCOTT SHANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7603 COLLAND DR, FORT COLLINS, CO 80525-6929
(970) 663-2686
(970) 663-1226
Mailing address
7603 COLLAND DR, FORT COLLINS, CO 80525-6929
(970) 663-2686
(970) 663-1226
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
31090
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31090
MD
CO
01
—
3573
AM BOARD OF PSYH
—
Enumeration date
08/01/2006
Last updated
03/07/2023
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