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Individual

BRIAN THOMAS SHEA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
777 29TH ST, 400, BOULDER, CO 80303-2358
(303) 447-0022
Mailing address
777 29TH ST, 400, BOULDER, CO 80303-2358

Taxonomy

Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
36013
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
92021328
CO
Enumeration date
08/15/2006
Last updated
07/08/2007
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