Individual
ROBERT SHELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
665 S 2000 W, SYRACUSE, UT 84075-9623
(801) 402-7900
Mailing address
9162 S WASATCH PEAK CIR, WEST JORDAN, UT 84088-5590
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
09/18/2020
Last updated
09/18/2020
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