# PARAGOULD UROLOGY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Dewey R. Shelley M.D.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114013349
- **Authorized official:** DR. DEWEY R SHELLEY M.D. (OWNER)
- **Authorized official phone:** (870) 236-3308

## Contact information

- **Practice address:** 1000 W KINGSHIGHWAY STE 8, PARAGOULD, AR 72450-4197
- **Practice address phone:** (870) 236-3308
- **Practice address fax:** (870) 236-8530
- **Mailing address:** 1000 W KINGSHIGHWAY STE 8, PARAGOULD, AR 72450-4197
- **Mailing address phone:** (870) 236-3308
- **Mailing address fax:** (870) 236-8530

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | E-4246 | AR | Yes |

## Other

- **Enumeration date:** 10/05/2006
- **Last updated:** 08/22/2020