Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANNON QUIRK DETTY, M.D.
ActiveSHANNON QUIRK DETTY, M.D. is a Dermatology healthcare provider located in BOULDER, Colorado. NPI 1790149763 is currently active in the NPPES registry. Verify at CMS.
Dermatology · BOULDER, CO
Registration Details
- NPI Number
- 1790149763
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 6, 2016 (10.387000969003 yrs)
- Last Updated
- Oct 7, 2022
- Licenses
-
6600-851 (WI)70147 (WI)
Practice Information
- Address
-
2880 FOLSOM ST STE 200BOULDER, CO, 803043769Browse CO providers · Browse ZIP 80304
- Phone
- 3034426647
- Fax
- 3034422696
- Primary Specialty
-
Dermatology
207N00000X
- Additional Specialty
- Dermatology
Other Dermatology Providers in BOULDER, CO
| Name | Credential | NPI |
|---|---|---|
| DR. DIANE LUCY KALLGREN | M.D. | 1144214016 |
| STEVEN R HONG | M.D. | 1427033794 |
| JOHN R STEINBAUGH | M.D. | 1184699159 |
| GEORGE R RUSSELL | MD | 1932178241 |
| DR. STEVEN D RESNICK | M.D. | 1124083456 |
| DR. JAROD ALEXANDER CONLEY | MD | 1871676148 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.