Individual
SHELLY WILLES OWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2820 CENTRAL AVE STE A, BILLINGS, MT 59102-8624
(406) 252-8346
Mailing address
111 S 5TH ST, DOUGLAS, WY 82633-2434
(307) 358-7300
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
TL519
WY
Other
Enumeration date
04/01/2011
Last updated
08/11/2022
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