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1962465807
GLENN MARK SHOPTAUGH
COLORADO SPRINGS, CO
NPI
1962465807
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2080N0001X Pediatrics, Neonatal-Perinatal Medicine
(Licence: CO 40437)
Enumeration Date
2006-04-11
Last Update Date
2007-07-08
Business Address
Dr. GLENN MARK SHOPTAUGH M.D.
82 RAVEN HILLS CT
COLORADO SPRINGS, CO 80919-1316
Phone number: 719-201-4964
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Mailing Address
Dr. GLENN MARK SHOPTAUGH M.D.
82 RAVEN HILLS CT
COLORADO SPRINGS, CO 80919-1316
Phone number: 719-201-4964
Copy
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