Individual
DR. JOHN R SHANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2446 RESEARCH PKWY, SUITE 200, COLORADO SPRINGS, CO 80920-1087
(719) 623-1050
(719) 623-1052
Mailing address
2446 RESEARCH PKWY, SUITE 200, COLORADO SPRINGS, CO 80920-1087
(719) 623-1050
(719) 623-1052
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
CO40999
CO
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
Primary
CO40999
CO
207XX0801X
Orthopaedic Trauma Physician
CO40999
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
85089320
—
CO
Enumeration date
05/16/2006
Last updated
04/18/2013
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