Shannon Buckvold
Pediatric Critical Care Doctor
13123 E 16th Ave
Aurora
, Colorado 80045-7106
Shannon Buckvold
Pediatric Critical Care Doctor
13123 E 16th Ave
Aurora
, Colorado 80045-7106
(303) 493-7000
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About
Features
Specialties
- Pediatric Critical Care Doctor
Languages spoken
- English
Location
First Address
- Shannon Buckvold
- Po Box 110429
- Aurora, CO
- Zip : 80042-0429
- Phone : (303) 493-7000
Second Address
- Shannon Buckvold
- 13123 E 16th Ave
- Aurora, CO
- Zip : 80045-7106
- Phone : (720) 777-1234
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080P0203X | Pediatric Critical Care Doctor | 44614 | CO |
National Provider Identifier
| NPI | 1063439743 |
|---|---|
| Provider Name | Shannon Buckvold |
| First Address | Aurora, CO 80042-0429 |
| Second Address | Aurora, CO 80045-7106 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/07/2006 |
| Last Update Date | 12/09/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 54934249 | (05) | CO |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.