Individual provider · Type 1 NPI

Shannon Phillips, PA

Surgical Physician Assistant · Aurora, CO

NPI number 1679949648 Active

Practice location

12605 E 16th Ave
Aurora, CO 80045-2545

Call (720) 848-0000 Map

Mailing address

777 Bannock St
Denver, CO 80204-4597

Other practice locations

  • 777 Bannock St, Denver, CO 80204-4597 · (303) 436-4949

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant 363AS0400X079192 (IA)
Surgical Physician Assistant Primary 363AS0400XPA.0004856 (CO)

Surgical Physician Assistant: Definition to come...

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About NPI 1679949648

Shannon Phillips, PA's National Provider Identifier is 1679949648, issued on Aug 13, 2015. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Aurora, CO. The record was last updated on Aug 20, 2026.