Individual
SHANE ELTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
37000 N GANTZEL RD, SAN TAN VALLEY, AZ 85140-7303
(480) 500-2540
Mailing address
2000 EOFF ST, WHEELING, WV 26003-3823
(304) 234-8663
(304) 234-8960
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
008007
AZ
207P00000X
Emergency Medicine Physician
55614866
WV
Other
Enumeration date
06/28/2016
Last updated
02/10/2020
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