Individual
DR. TRENT W SHELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
160 ALLEN ST, RUTLAND, VT 05701-4560
(802) 747-3650
(802) 747-1754
Mailing address
160 ALLEN ST, RUTLAND, VT 05701-4560
(802) 747-3650
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
032.0125104
VT
2085R0204X
Vascular & Interventional Radiology Physician
032.0125104
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1029927
—
VT
Enumeration date
08/12/2008
Last updated
09/25/2023
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