Individual
DR. LORAN DAVID SHERWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
570 PALOMINO TRL, RIDGWAY, CO 81432-9246
(970) 626-5123
(970) 626-9783
Mailing address
PO BOX 270, RIDGWAY, CO 81432-0270
(970) 626-5123
(970) 626-9783
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35376
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01353762
—
CO
01
—
841554989002
ROCKY MOUNTAIN
CO
01
—
SH39676
BLUE CROSS BLUE SHIELD
CO
Enumeration date
10/12/2006
Last updated
11/15/2013
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