Shane Radcliff
Shane Radcliff is a Specialist in Fruita, Colorado. Practices as a sole proprietor. Registered with an NPI since 2008.
- In the registry since
- 2008
Practice location Address checks out
158 S Park SqFruita, CO 81521-2531
Phone: (970) 260-3228
Fax: (970) 858-8510
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Specialist (primary) | Taxonomy 174400000X |
|---|
Record details
| NPI number | 1841458577 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | May 29, 2008 |
| Last updated in NPPES | May 29, 2008 |
| Mailing address | 246 Narrow Leaf Dr, Fruita, CO 81521-2580 |
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Community Medical Group, LLC
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Community Medical Group, LLC
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Nicholas Devries
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