Individual
PHILIP D SHELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
440 PLUMAS BLVD, YUBA CITY, CA 95991-5071
(530) 799-3301
(530) 749-3496
Mailing address
10470 OLD PLACERVILLE RD, #100, SACRAMENTO, CA 95827-2539
(800) 470-0071
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
G58964
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G589640
—
CA
01
—
300106518
MEDICARE ID
—
01
—
300130622
MEDICARE ID
—
Enumeration date
01/04/2006
Last updated
05/20/2014
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