Individual
DR. ALAN EDWARD SHELTON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2209 E 32ND ST, TACOMA, WA 98404-4922
(253) 593-0232
(253) 593-3311
Mailing address
1425 E 34TH ST, TACOMA, WA 98404-3908
(253) 627-5955
(253) 593-3311
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00021453
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
42441
LABOR & INDUSTRIES
VA
05
—
8642100
—
WA
01
—
SH2087
REGENCE
WA
Enumeration date
06/03/2006
Last updated
07/09/2007
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