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Individual

SHAUN THOMAS O'MALLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
87 MERCHANT DR, MONTROSE, CO 81401-3015
(970) 252-8896
Mailing address
1100 NORTH AVENUE, DEPARTMENT OF KINESIOLOGY, PHYSICIAN ASSISTANT PROGRAM, GRAND JUNCTION, CO 81501

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary

Other

Enumeration date
10/12/2021
Last updated
08/15/2023
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