Individual
SHANNON MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
610 25 RD, GRAND JUNCTION, CO 81505-1202
(970) 298-9600
Mailing address
8625 CHAPEL SQUARE CT, COLORADO SPRINGS, CO 80920-5355
(719) 522-3805
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
DR.0062675
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/20/2015
Last updated
07/12/2019
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