Individual
LUCUS DEAN SHELTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
5121 S COTTONWOOD ST, MURRAY, UT 84107
(801) 507-7000
(770) 701-6675
Mailing address
PO BOX 3570, SALT LAKE CITY, UT 84110-3570
(801) 727-2056
(770) 701-6675
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
10742194-1204
UT
207L00000X
Anesthesiology Physician
125.064786
IL
Other
Enumeration date
03/26/2014
Last updated
06/12/2018
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