Individual
RICHARD STEWART SHELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
500 FOOTHILL BLVD, SALT LAKE CITY, UT 84148-2307
(916) 734-3764
Mailing address
4860 Y ST, SUITE 2820, SACRAMENTO, CA 95817-2307
(916) 734-3764
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01067983
IN
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
12406084-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200989270
—
IN
Enumeration date
05/26/2008
Last updated
04/14/2022
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