Provider Demographics
NPI:1881847309
Name:SHOMO, STEVEN (DAOM,GCMH,CSCS,WFR)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:
Last Name:SHOMO
Suffix:
Gender:M
Credentials:DAOM,GCMH,CSCS,WFR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10730 E BETHANY DR STE 105
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80014-2811
Mailing Address - Country:US
Mailing Address - Phone:303-210-6436
Mailing Address - Fax:
Practice Address - Street 1:10730 E BETHANY DR STE 105
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014-2811
Practice Address - Country:US
Practice Address - Phone:303-210-6436
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-28
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP2556171100000X
CO0001929171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist