Organization
SHELLY A LEVULIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELLY A LEVULIS DPM (PODIATRIST)
(570) 287-1955
Entity
Organization
Contact information
Practice address
33 GATEWAY SHOPPING CTR, EDWARDSVILLE, PA 18704-4424
(570) 287-1955
(570) 287-1995
Mailing address
33 GATEWAY SHOPPING CTR, EDWARDSVILLE, PA 18704-4424
(570) 287-1955
(570) 287-1995
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
SC005978
PA
Other
Enumeration date
11/04/2010
Last updated
11/16/2010
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