Individual
DR. JEREMY BRADFORD SHELTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10833 LE CONTE AVE RM 66-134, LOS ANGELES, CA 90095-1738
(310) 206-8177
Mailing address
10833 LE CONTE AVE RM 66-134, LOS ANGELES, CA 90095-1738
(310) 206-8177
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
A105091
CA
Other
Enumeration date
12/27/2006
Last updated
10/10/2011
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