Individual
DR. SHANE ERIN MCCARTHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
2685 DUBLIN BLVD, 3RD FLOOR, COLORADO SPRINGS, CO 80918-1358
(719) 592-9890
(719) 592-9890
Mailing address
2685 DUBLIN BLVD, COLORADO SPRINGS, CO 80918-1358
(719) 592-9890
(719) 264-7810
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
40209
CO
207Q00000X
Family Medicine Physician
A-1212-03
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
52736849
—
CO
05
—
61582361
—
NM
Enumeration date
06/21/2005
Last updated
05/29/2008
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