Provider Demographics
NPI:1396873105
Name:SHAFF, MORGEN L (PA)
Entity type:Individual
Prefix:MS
First Name:MORGEN
Middle Name:L
Last Name:SHAFF
Suffix:
Gender:F
Credentials:PA
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Mailing Address - Street 1:2480 S DOWNING ST
Mailing Address - Street 2:STE 210
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80210-5890
Mailing Address - Country:US
Mailing Address - Phone:303-282-7772
Mailing Address - Fax:303-282-4407
Practice Address - Street 1:2480 S DOWNING ST STE 210
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80210-5890
Practice Address - Country:US
Practice Address - Phone:303-282-7772
Practice Address - Fax:303-282-4407
Is Sole Proprietor?:No
Enumeration Date:2007-03-01
Last Update Date:2020-11-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
COPA.0003201363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical