A Glenn Shoptaugh MD PC
Pediatrics in Colorado Springs, CO. Organization (NPI-2).
NPI number1285877183
StatusActive
Last updated in NPPESApr 8, 2009
Details
- NPI
- 1285877183
- Entity type
- Organization (NPI-2)
- Legal business name
- A Glenn Shoptaugh MD PC
- Organization subpart
- No
- Enumeration date
- Apr 8, 2009
- Last updated
- Apr 8, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | 14141 | CO | Yes |
Other names
- Kids Are Great Pediatrics (Doing Business As)
Practice location
1715 N Weber StSuite 120
Colorado Springs, CO 80907-7532
Phone 719-577-4200 · Fax 719-442-6595
Mailing address
1715 N Weber StSuite 120
Colorado Springs, CO 80907-7532
Phone 719-577-4200 · Fax 719-442-6595
Authorized official
Albert Glenn Shoptaugh
President
7195774200
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