SARA ELIZABETH SHIVELY

THE PAGOSA MEDICAL GROUP LLC

Dr SARA ELIZABETH SHIVELY is a female medical professional, specializing in Physician Assistant. She graduated in 2009.

Contact

THE PAGOSA MEDICAL GROUP LLC

27 B TALISMAN DR
UNIT 3
PAGOSA SPRINGS
CO
811477914

Tel: 9703720456

SARA ELIZABETH SHIVELY Information

Npi 1275768673
Pac Id 5799831178
Professional Enrollment Id I20130618000086
Last Name SHIVELY
First Name SARA
Middle Name ELIZABETH
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2009
Primary Specialty PHYSICIAN ASSISTANT
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name THE PAGOSA MEDICAL GROUP LLC
Group Practice Pac Id 8729342936
Number Of Group Practice Members 4
Line 1 Street Address 27 B TALISMAN DR
Line 2 Street Address UNIT 3
Marker Of Address Line 2 Suppression
City PAGOSA SPRINGS
State CO
Zip Code 811477914
Phone Number 9703720456
Hospital Affiliation Ccn 1 320021
Hospital Affiliation Lbn 1 PRESBYTERIAN HOSPITAL
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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