Wholeness Medical Services LLC
NPI #1073896700 in Fort Collins, Colorado
Provider Information
- NPI Number
- 1073896700
- Entity Type
- Organization
- Organization Name
- Wholeness Medical Services LLC
- Primary Specialty
- Physician Assistant - Medical
- Enumeration Date
- Sep 20, 2011
- Last Updated
- Sep 20, 2011
Practice Location
- Address
- 2620 E PROSPECT RD STE 190
- City
- Fort Collins
- State
- Colorado
- ZIP Code
- 80525-9098
- Phone
- (970) 221-1106
Authorized Official
- Name
- DR. SCOTT SHANNON, M.D.
- Title
- OWNER/MEMBER
- Phone
- (970) 221-1106
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
| Internal Medicine |
| Physician Assistant - Medical — Medical |
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