MEDICARE: SHANNON M TAPIA 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
1	207QG0300X	Geriatric Medicine (Family Medicine) Physician	0054196	CO

General Provider Information

NPI Number	:	1851610406
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHANNON M TAPIA MD

Provider Business Mailing Address
First Line	:	8428 E 54TH PL
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80238-3833
Country	:	US
Telephone Number	:	806-570-8550
Fax Number	:

Provider Business Practice Location Address
First Line	:	8428 E 54TH PL
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80238-3833
Country	:	US
Telephone Number	:	806-570-8550
Fax Number	:

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

Provider Enumeration Date	:	05/21/2010
Last Update Date	:	09/18/2024

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