Individual
HEATHER A SHELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3015 HWAY 95, # 109, BULLHEAD CITY, AZ 86442-4334
(928) 763-5055
(928) 763-5056
Mailing address
PO BOX 22666, BULLHEAD CITY, AZ 86439-2666
(928) 768-3445
(928) 788-4239
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
23913
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
403395
—
AZ
Enumeration date
11/04/2005
Last updated
02/19/2013
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