MEDICARE: DR. SHAUNA GERTRUDE WRIGHT DO

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
1	2083X0100X	Occupational Medicine Physician	36680	CO

General Provider Information

NPI Number	:	1831388727
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SHAUNA GERTRUDE WRIGHT DO

Provider Business Mailing Address
First Line	:	720 S. COLORADO BLVD
Second Line	:	SUITE 220A
City	:	GLENDALE
State	:	CO
Zip	:	80246-1912
Country	:	US
Telephone Number	:	303-584-8231
Fax Number	:	866-210-0907

Provider Business Practice Location Address
First Line	:	720 S. COLORADO BLVD
Second Line	:	#220A
City	:	GLENDALE
State	:	CO
Zip	:	80246-1912
Country	:	US
Telephone Number	:	303-584-8208
Fax Number	:	866-210-2804

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/17/2007
Last Update Date	:	08/06/2009

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