Individual
SHAUNA R MCCARTHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8383 W ALAMEDA AVE, LAKEWOOD, CO 80226-3007
(303) 239-7284
Mailing address
10741 W DARTMOUTH AVE, LAKEWOOD, CO 80227-5610
(303) 989-0589
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
177314
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010761
KAISER-COMMERCIAL NUMBER
—
Enumeration date
02/27/2007
Last updated
07/08/2007
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