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Individual

CHRIS L SHULTS

Active
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Individual

CHRIS L SHULTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
2488
CO
363AM0700X
Medical Physician Assistant
Primary
178849
AK
363AS0400X
Surgical Physician Assistant
Primary
PA.0002488
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2488
COLORADO DEPARTMENT OF HEALTH AND ENVIRONMENT
CO
01
268825YL8F
MEDICARE PTAN
05
73226769
CO
Enumeration date
10/10/2007
Last updated
02/05/2026
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