Sara Elizabeth Shively, PA-C
NPI #1275768673 in Pagosa Springs, Colorado
Provider Information
- NPI Number
- 1275768673
- Entity Type
- Individual
- Name
- Sara Elizabeth Shively, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- May 29, 2009
- Last Updated
- May 28, 2024
Practice Location
- Address
- 52 VILLAGE DR
- City
- Pagosa Springs
- State
- Colorado
- ZIP Code
- 81147-8368
- Phone
- (970) 264-2104
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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