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Individual

DR. SHANNON SHABNAM AMIRIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
9475 S UNIVERSITY BLVD, HIGHLANDS RANCH, CO 80126-7802
(303) 470-4061
(303) 470-4062
Mailing address
2695 ROCKY MOUNTAIN AVE STE 150, LOVELAND, CO 80538-9071
(970) 624-4123
(970) 490-4173

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DR.0071782
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
207Q00000X
FAMILY MEDICINE
VA
Enumeration date
06/11/2018
Last updated
10/11/2023
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