Provider Demographics
NPI:1437368578
Name:OLIVER, SHELLEY M (MD)
Entity Type:Individual
Prefix:
First Name:SHELLEY
Middle Name:M
Last Name:OLIVER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2121 E. HARMONY RD. STE 290
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS,
Mailing Address - State:CO
Mailing Address - Zip Code:80528
Mailing Address - Country:US
Mailing Address - Phone:970-224-9890
Mailing Address - Fax:970-224-9800
Practice Address - Street 1:2121 E. HARMONY RD. STE 290
Practice Address - Street 2:
Practice Address - City:FORT COLLINS,
Practice Address - State:CO
Practice Address - Zip Code:80528
Practice Address - Country:US
Practice Address - Phone:970-224-9890
Practice Address - Fax:970-224-9800
Is Sole Proprietor?:No
Enumeration Date:2007-05-22
Last Update Date:2012-10-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4301088465207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery