Individual
DR. GLENN MARK SHOPTAUGH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
82 RAVEN HILLS CT, COLORADO SPRINGS, CO 80919-1316
(719) 201-4964
(719) 447-8987
Mailing address
82 RAVEN HILLS CT, COLORADO SPRINGS, CO 80919-1316
(719) 201-4964
(719) 447-8987
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
40437
CO
Other
Enumeration date
04/11/2006
Last updated
07/08/2007
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