Individual
SHELBY THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6225 EMMA LN, COLORADO SPRINGS, CO 80922-1825
(859) 409-8946
Mailing address
6225 EMMA LN, COLORADO SPRINGS, CO 80922-1825
(859) 409-8946
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
11/19/2016
Last updated
11/19/2016
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