Most Relevant Information
Provider Data
| NPI Number: | 1003071804 |
| Provider Name: | SHANNON D EVANS DO |
| Entity Type: | Individual |
| Taxonomy Code: | 207Q00000X |
| Specialty: | Family Medicine |
| License Number: | DOS-1720 |
Most Important Dates
| Enumeration Date: | 07/22/2008 |
| Last Updated: | 08/22/2018 |
Provider Practice Location
4745 BOARDWALK DRIVE UNIT C3
FORT COLLINS
CO
80525
Practice Location Phone/Fax
| Phone: | 9703050101 |
| Fax: |
Provider Mailing Location
4745 BOARDWALK DRIVE UNIT C3
FORT COLLINS
CO
80525
Provider Mailing Phone/Fax
| Phone: | 9703050101 |
| Fax: |
Suggested EMR
Family Practice EMR