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Individual

DR. TREVOR SHELTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1157 N 300 W, PROVO, UT 84604-6124
(801) 357-1200
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631

Taxonomy

Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
12803880-1205
UT

Other

Enumeration date
04/17/2014
Last updated
05/16/2022
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