Individual
TODD HAROLD SHOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12230 LIONESS WAY, PARKER, CO 80134-5603
(720) 644-9355
Mailing address
9250 E COSTILLA AVE STE 540, GREENWOOD VILLAGE, CO 80112-3648
(303) 306-7783
(303) 306-7753
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
DR.0053909
CO
208M00000X
Hospitalist Physician
0053909
CO
208M00000X
Hospitalist Physician
Primary
DR.0053909
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
83802762
—
CO
01
—
P01381224
RAILROAD MEDICARE
CO
Enumeration date
03/28/2011
Last updated
05/24/2024
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