Dr SHANNON BAKER is a female medical professional, specializing in Nurse Practitioner. She graduated in 2009.
BRADLEY W. SMITH, D.O., PLLC
44 BRIARGATE TER
PUEBLO
CO
810011743
Tel: 7195466300
| Npi | 1518191014 |
| Pac Id | 1052674827 |
| Professional Enrollment Id | I20180409000157 |
| Last Name | BAKER |
| First Name | SHANNON |
| Middle Name | |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2009 |
| Primary Specialty | NURSE PRACTITIONER |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
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| Organization Legal Name | BRADLEY W. SMITH, D.O., PLLC |
| Group Practice Pac Id | 1658477583 |
| Number Of Group Practice Members | 3 |
| Line 1 Street Address | 44 BRIARGATE TER |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | PUEBLO |
| State | CO |
| Zip Code | 810011743 |
| Phone Number | 7195466300 |
| Hospital Affiliation Ccn 1 | 060020 |
| Hospital Affiliation Lbn 1 | PARKVIEW MEDICAL CENTER INC |
| Hospital Affiliation Ccn 2 | 060012 |
| Hospital Affiliation Lbn 2 | ST MARY CORWIN MED CTR, CENTURA HEALTH |
| 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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