Individual
SHELLIE L HARMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
47 WIDEFIELD BLVD, COLORADO SPRINGS, CO 80911-2126
(719) 282-6100
(719) 282-6106
Mailing address
47 WIDEFIELD BLVD, COLORADO SPRINGS, CO 80911-2126
(719) 390-4335
(719) 390-4566
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
998
CO
Other
Enumeration date
02/15/2007
Last updated
04/25/2016
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