Individual
SHAWN CHARLES SNOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1400 E BOULDER ST, DEPARTMENT OF ANESTHESIA, COLORADO SPRINGS, CO 80909-5533
(352) 867-8898
(352) 732-6282
Mailing address
8000 E MAPLEWOOD AVE, STE 200, GREENWOOD VILLAGE, CO 80111-4727
(352) 867-8898
(352) 732-6282
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME45402
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
809531
BLUE CROSS BLUE SHIELD
CO
Enumeration date
10/04/2006
Last updated
07/23/2018
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