Stephan W Shane, D.O.

NPI #1447332424 in Brighton, Colorado

Provider Information

NPI Number: 1447332424
Entity Type: Individual
Name: Stephan W Shane, D.O.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: D.O.
Enumeration Date: Oct 19, 2006
Last Updated: Sep 9, 2011

Practice Location

Address: 859 S 4TH AVE
City: Brighton
State: Colorado
ZIP Code: 80601-3543
Phone: (303) 338-4545

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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