Individual
SHANE C WHEELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10800 E GEDDES AVE STE 300, ENGLEWOOD, CO 80112-3895
(303) 761-9190
(720) 874-4462
Mailing address
10800 E GEDDES AVE STE 300, ENGLEWOOD, CO 80112-3895
(303) 761-9190
(720) 874-4462
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
04-36301
KS
2085R0202X
Diagnostic Radiology Physician
25107
NE
2085R0202X
Diagnostic Radiology Physician
Primary
46616
CO
2085R0202X
Diagnostic Radiology Physician
MD17494
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025709000
—
NE
05
—
1366609653
—
CA
05
—
1366609653
—
IA
05
—
1366609653
—
MT
05
—
1366609653
—
NV
05
—
1366609653
—
SD
05
—
1366609653
—
UT
05
—
1366609653
—
WY
05
—
1679513196
—
UT
05
—
200424590A
—
OK
05
—
200602140A
—
KS
05
—
204734201
—
TX
05
—
53577710
—
CO
05
—
621053
—
AZ
05
—
7100096790
—
KY
05
—
84059792913
—
NE
05
—
95452761
—
NM
Enumeration date
05/22/2008
Last updated
03/31/2024
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