Individual
DONALD SHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., M.A.
Contact information
Practice address
1701 MCCORMICK DR, SUITE 200, LARGO, MD 20774-5329
(301) 883-7834
(301) 883-7896
Mailing address
1701 MCCORMICK DR, SUITE 200, LARGO, MD 20774-5329
(301) 883-7834
(301) 883-7896
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D40343
MD
207QS0010X
Sports Medicine (Family Medicine) Physician
D40343
MD
Other
Enumeration date
06/05/2009
Last updated
06/05/2009
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