Individual
DR. WILLIAM A SHACHTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1725 E PROSPECT ROAD, FORT COLLINS, CO 80525-1307
(970) 221-2222
(970) 221-4286
Mailing address
1725 E PROSPECT ROAD, FORT COLLINS, CO 80525-1307
(970) 221-2222
(970) 221-4286
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
17613
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01176130
—
CO
Enumeration date
06/21/2005
Last updated
10/28/2007
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