Organization
SHAW FAMILY PRACTICE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JO NELL M SHAW DC, ND (CEO, CHIEF CLINICIAN)
(970) 658-1281
Entity
Organization
Contact information
Practice address
148 W OAK ST STE C, FORT COLLINS, CO 80524-2893
(970) 658-1281
(970) 844-8884
Mailing address
148 W OAK ST STE C, FORT COLLINS, CO 80524-2893
(970) 658-1281
(970) 844-8884
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
111NP0017X
Pediatric Chiropractor
—
—
175F00000X
Naturopath
—
—
Other
Enumeration date
06/10/2022
Last updated
06/10/2022
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