Timothy Richard Shank, PA-C

NPI #1053896621 in Arvada, Colorado

Provider Information

NPI Number: 1053896621
Entity Type: Individual
Name: Timothy Richard Shank, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Sep 30, 2018
Last Updated: Sep 30, 2018

Practice Location

Address: 12650 W 64TH AVE UNIT E501
City: Arvada
State: Colorado
ZIP Code: 80004-3893
Phone: (303) 431-4127

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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