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1164564928
PHILLIP AUDRA SHRIVER
COLORADO SPRINGS, CO
NPI
1164564928
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CO 42075)
Enumeration Date
2007-02-12
Last Update Date
2019-12-20
Business Address
PHILLIP AUDRA SHRIVER M.D.
2880 INTERNATIONAL CIR # N010
COLORADO SPRINGS, CO 80910-3127
Phone number: 719-520-7080
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Mailing Address
PHILLIP AUDRA SHRIVER M.D.
340 PRINTERS PKWY
COLORADO SPRINGS, CO 80910-3190
Phone number: 719-632-5700
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