Individual
ROSEANNE D SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
HIGHWAY 9 AND SCHOOL ROAD, FRISCO, CO 80443
(970) 668-3300
(978) 668-8123
Mailing address
PO BOX 1225, SILVERTHORNE, CO 80498-1225
(970) 668-0895
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
21960
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01219609
—
CO
Enumeration date
02/15/2006
Last updated
09/06/2008
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