Organization
BRIAN T. SHEA DO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN T SHEA D.O. (PRESIDENT)
(303) 444-3443
Entity
Organization
Contact information
Practice address
1790 30TH ST, SUITE 120, BOULDER, CO 80301-1022
(303) 447-0022
Mailing address
PO BOX 2086, FORT COLLINS, CO 80522-2086
(303) 444-3443
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
36013
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
92021328
—
CO
Enumeration date
10/04/2007
Last updated
03/04/2008
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