Individual
DR. WILLIAM VAN RONKEL SHELLOW
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11301 WILSHIRE BLVD, LOS ANGELES, CA 90073-1003
(310) 268-3153
(310) 268-4988
Mailing address
1757 ROSCOMARE RD, LOS ANGELES, CA 90077-2212
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
G10047
CA
Other
Enumeration date
05/16/2006
Last updated
07/08/2007
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