Individual
RICHARD A SHAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
111 W 2ND ST, LA JUNTA, CO 81050-1508
(719) 384-2771
(719) 384-2077
Mailing address
111 W 2ND ST, P.O. BOX 496, LA JUNTA, CO 81050-1508
(719) 384-2771
(719) 384-2077
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
20661
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01206614
—
CO
Enumeration date
01/09/2007
Last updated
02/22/2008
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