DR. Benjamin Loren Shaw, D.O.

NPI #1952424657 in Longmont, Colorado

Provider Information

NPI Number: 1952424657
Entity Type: Individual
Name: DR. Benjamin Loren Shaw, D.O.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: D.O.
Enumeration Date: Apr 9, 2007
Last Updated: May 22, 2017

Practice Location

Address: 1750 E KEN PRATT BLVD
City: Longmont
State: Colorado
ZIP Code: 80504-5311
Phone: (720) 718-7000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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