Individual
DR. PETER B SHELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
32123 1ST AVE S, SUITE A-3, FEDERAL WAY, WA 98003-5721
(253) 838-6272
(253) 874-2690
Mailing address
32123 1ST AVE S, SUITE A-3, FEDERAL WAY, WA 98003-5721
(253) 838-6272
(253) 874-2690
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD00018850
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1748805
—
WA
Enumeration date
10/02/2006
Last updated
01/10/2008
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