Provider Demographics
NPI:1073703476
Name:NAYLOR, SHAWN (DO)
Entity Type:Individual
Prefix:DR
First Name:SHAWN
Middle Name:
Last Name:NAYLOR
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2460 W 26TH AVE STE 420C
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80211-5363
Mailing Address - Country:US
Mailing Address - Phone:303-698-0333
Mailing Address - Fax:303-698-0198
Practice Address - Street 1:2460 W 26TH AVE STE 420C
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80211-5363
Practice Address - Country:US
Practice Address - Phone:303-698-0333
Practice Address - Fax:303-698-0198
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-31
Last Update Date:2018-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO45009207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO45009OtherCOLORADO LICENSE