Individual
LEVI SHELTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4401 PENN AVE, AOB, SUITE 5400, PITTSBURGH, PA 15224-1334
(412) 692-5437
Mailing address
18693 E 410 RD, CLAREMORE, OK 74017-0429
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
MD460707
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/26/2012
Last updated
12/12/2020
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