BENJAMIN LOREN SHAW

LONGMONT, CO
NPI1952424657
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: CO  DR0058636)
Additional Taxonomies207R00000X Internal Medicine
(Licence: OH  58.001782)
207R00000X Internal Medicine
(Licence: AR  E5527)
Enumeration Date2007-04-09
Last Update Date2017-05-22
Business Address
Dr. BENJAMIN LOREN SHAW D.O.
1750 E KEN PRATT BLVD
LONGMONT, CO 80504-5311
Phone number: 720-718-7000
Mailing Address
Dr. BENJAMIN LOREN SHAW D.O.
2695 ROCKY MOUNTAIN AVENUE SUITE 150
LOVELAND, CO 80538
Phone number: 970-624-4440