Individual
SHELLEY LEE EVERLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
519 N. LEROUX STREET, FLAGSTAFF, AZ 86001
(928) 214-8800
Mailing address
519 N. LEROUX STREET, FLAGSTAFF, AZ 86001
(928) 214-8800
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
28385
AZ
Other
Enumeration date
03/30/2007
Last updated
07/08/2007
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