Organization
COLORADO PREVENTATIVE MEDICINE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CATHERINE SHANAHAN MD (PRESIDENT)
(707) 339-1976
Entity
Organization
Contact information
Practice address
6098 WILLOW SPRINGS DR, MORRISON, CO 80465-2115
(707) 339-1976
Mailing address
6098 WILLOW SPRINGS DR, MORRISON, CO 80465-2115
(707) 339-1976
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
0055110
CO
Other
Enumeration date
06/09/2015
Last updated
09/15/2016
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