Individual
SHELLY RENEE ELSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA C
Contact information
Practice address
300 S MAPLE ST, ODEBOLT, IA 51458-7714
(712) 668-2232
(712) 668-2233
Mailing address
300 S MAPLE ST, ODEBOLT, IA 51458-7714
(712) 668-2232
(712) 668-2233
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
000938
IA
Other
Enumeration date
08/25/2005
Last updated
11/09/2009
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