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Individual

RONALD LEE SHELTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2001 W 86TH ST, INDIANAPOLIS, IN 46260-1902
(317) 338-2345
Mailing address
8840 COMMERCE PARK PL STE E, INDIANAPOLIS, IN 46268-3129

Taxonomy

Speciality
Code
Description
License number
State
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
01023991
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100200370
IN
Enumeration date
08/16/2005
Last updated
10/16/2014
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