Individual
JEFFREY A. SHAPIRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 W 16TH ST, PUEBLO, CO 81003-2745
(719) 584-4000
Mailing address
400 W 16TH ST, PUEBLO, CO 81003-2745
(719) 595-7585
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
TL.0009436
CO
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/22/2022
Last updated
07/28/2022
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