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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SHANE RADCLIFF

Active Sole Proprietor

SHANE RADCLIFF is a Specialist healthcare provider located in FRUITA, Colorado. NPI 1841458577 is currently active in the NPPES registry. Verify at CMS.

Specialist · FRUITA, CO

Registration Details

NPI Number
1841458577
Provider Type
Individual
Gender
Male
NPI Issued
May 29, 2008 (18.254072186153 yrs)
Last Updated
May 29, 2008
Sole Proprietor
Yes

Practice Information

Address
158 S PARK SQ
FRUITA, CO, 815212531
Browse CO providers · Browse ZIP 81521
Phone
9702603228
Fax
9708588510
Primary Specialty
Specialist
174400000X

Other Specialist Providers in FRUITA, CO

Name Credential NPI
NICHOLAS DEVRIES 1033516471
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.