Individual
SHELLEY MIYAMOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
13123 E 16TH AVE, AURORA, CO 80045-7106
(720) 777-1234
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
(303) 493-7000
(303) 493-7202
Taxonomy
Speciality
Code
Description
License number
State
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
Primary
DR.0040624
CO
2080P0202X
Pediatric Cardiology Physician
40624
CO
Other
Enumeration date
10/25/2006
Last updated
05/26/2023
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