Provider Demographics
NPI:1881780310
Name:SNOW, SHAWN CHARLES (MD)
Entity type:Individual
Prefix:
First Name:SHAWN
Middle Name:CHARLES
Last Name:SNOW
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:8000 E MAPLEWOOD AVE
Mailing Address - Street 2:STE 200
Mailing Address - City:GREENWOOD VILLAGE
Mailing Address - State:CO
Mailing Address - Zip Code:80111-4727
Mailing Address - Country:US
Mailing Address - Phone:352-867-8898
Mailing Address - Fax:352-732-6282
Practice Address - Street 1:1400 E BOULDER ST
Practice Address - Street 2:DEPARTMENT OF ANESTHESIA
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80909-5533
Practice Address - Country:US
Practice Address - Phone:352-867-8898
Practice Address - Fax:352-732-6282
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2018-07-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
COME45402207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO809531OtherBLUE CROSS BLUE SHIELD
COU92252Medicare UPIN
COC809531Medicare PIN