Individual
SHANNON PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
12605 E 16TH AVE, AURORA, CO 80045-2545
(720) 848-0000
Mailing address
777 BANNOCK ST, DENVER, CO 80204-4597
(303) 436-4949
(303) 602-7601
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
079192
IA
363AS0400X
Surgical Physician Assistant
Primary
PA.0004856
CO
Other
Enumeration date
08/13/2015
Last updated
04/07/2025
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