Individual
MARY SHANNON CLOW BECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
595 RUSSELL ST, CRAIG, CO 81625-1920
(970) 826-0911
(970) 826-0910
Mailing address
2695 ROCKY MOUNTAIN AVE STE 150, LOVELAND, CO 80538-9071
(970) 624-4128
(970) 490-4340
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
CO50848
CO
Other
Enumeration date
07/19/2011
Last updated
07/12/2021
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