Individual
RYAN R SHELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
777 HOSPITAL WAY, POCATELLO, ID 83201-5175
(208) 239-1000
Mailing address
333 N 18TH AVE STE A, POCATELLO, ID 83201-3358
(208) 232-7760
(208) 232-1950
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
257177
NY
Other
Enumeration date
07/28/2006
Last updated
02/28/2022
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