Individual
DAVID W SHENTON JR.
Active
Individual
DAVID W SHENTON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
6941
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000002231
BLUE CROSS
MT
05
—
0090727
—
MT
Enumeration date
06/17/2006
Last updated
09/02/2008
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