Individual
JACOB EZRA SHABASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10103 RIDGEGATE PKWY STE G01, LONE TREE, CO 80124-5521
(720) 225-4200
(720) 225-4208
Mailing address
7951 E MAPLEWOOD AVE STE 350, GREENWOOD VILLAGE, CO 80111-4758
(303) 930-7895
(832) 601-6018
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
DR.0070101
CO
Other
Enumeration date
04/13/2011
Last updated
02/07/2024
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