TIMOTHY RICHARD SHANK

ARVADA, CO
NPI1053896621
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: CO  0005534)
Enumeration Date2018-09-30
Last Update Date2018-09-30
Business Address
TIMOTHY RICHARD SHANK PA-C
12650 W 64TH AVE UNIT E501
ARVADA, CO 80004-3893
Phone number: 303-431-4127
Mailing Address
TIMOTHY RICHARD SHANK PA-C
827 S VANCE ST APT A-305
LAKEWOOD, CO 80226-5614
Phone number: 610-331-8346
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