Organization
A GLENN SHOPTAUGH MD PC
Active
Other names
Kids Are Great Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALBERT GLENN SHOPTAUGH M.D. (PRESIDENT)
(719) 577-4200
Entity
Organization
Contact information
Practice address
1715 N WEBER ST, SUITE 120, COLORADO SPRINGS, CO 80907-7532
(719) 577-4200
(719) 442-6595
Mailing address
1715 N WEBER ST, SUITE 120, COLORADO SPRINGS, CO 80907-7532
(719) 577-4200
(719) 442-6595
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
14141
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01141415
—
CO
Enumeration date
04/08/2009
Last updated
04/08/2009
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