Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 10734422-1205 | UT |
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | DR.0066523 | CO |
NPI | 1154668598 |
---|---|
Provider Name | Shannon Son |
First Address | Aurora, CO 80045-2570 |
Second Address | Aurora, CO 80045-2541 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/01/2013 |
Last Update Date | 22/09/2021 |