Individual
DR. LARRY EUGENE SHORES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2135 SOUTHGATE RD, COLORADO SPRINGS, CO 80906-2605
(719) 633-4114
Mailing address
2135 SOUTHGATE RD, COLORADO SPRINGS, CO 80906-2605
(719) 633-4114
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
34757
CO
2084P0804X
Child & Adolescent Psychiatry Physician
34757
CO
Other
Enumeration date
02/24/2007
Last updated
03/03/2009
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