Individual
STUART MATTHEW SHELLENBERGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
5880 S HOSPITAL DR, GLOBE, AZ 85501-9447
(928) 402-1217
(888) 321-1535
Mailing address
PO BOX 1193, GLOBE, AZ 85502-1193
(928) 402-1217
(888) 321-1535
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
090051
PA
367500000X
Certified Registered Nurse Anesthetist
Primary
CRNA0851
AZ
Other
Enumeration date
05/18/2012
Last updated
06/21/2012
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