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NPI Code Detail

MEDICARE: TEYEN P SHIAO MD

MEDICARE: TEYEN P SHIAO MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program11012974AIN
2208600000XSurgery Physician46781CO

General Provider Information

NPI Number : 1538326152
Entity Type Code : Individual
Provider Name (Legal Business Name) : TEYEN P SHIAO MD
Provider Business Mailing Address
First Line : 2440 N 11TH ST
Second Line :
City : GRAND JUNCTION
State : CO
Zip : 81501-8102
Country : US
Telephone Number : 970-243-0900
Fax Number : 970-245-4235
Provider Business Practice Location Address
First Line : 2440 N 11TH ST
Second Line :
City : GRAND JUNCTION
State : CO
Zip : 81501-8102
Country : US
Telephone Number : 970-243-0900
Fax Number : 970-245-4235
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/21/2008
Last Update Date : 05/02/2016

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Directions to “ TEYEN P SHIAO MD” Practice Location

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