Individual
SHANNON KEAGON YEAGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BOCP, C.PED.
Contact information
Practice address
2470 PATTERSON RD STE 9, GRAND JUNCTION, CO 81505-1028
(970) 243-6000
Mailing address
2470 PATTERSON RD STE 9, GRAND JUNCTION, CO 81505-1028
(970) 243-6000
Taxonomy
Speciality
Code
Description
License number
State
224L00000X
Pedorthist
—
—
224P00000X
Prosthetist
Primary
—
—
Other
Enumeration date
04/10/2017
Last updated
04/10/2017
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