Individual
ROGER D SHELTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7315 212TH ST SW, #204, EDMONDS, WA 98026-7610
(425) 771-3311
(425) 775-9844
Mailing address
7315 212TH ST SW, #204, EDMONDS, WA 98026-7610
(425) 771-3311
(425) 775-9844
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
MD00015787
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1502608
—
WA
Enumeration date
07/04/2006
Last updated
07/08/2007
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