Roger D Shelton
Gynecologist
7315 212th St Sw #204
Edmonds
, Washington 98026-7610
Roger D Shelton
Gynecologist
7315 212th St Sw #204
Edmonds
, Washington 98026-7610
(425) 775-9844
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About
Features
Specialties
- Gynecologist
Languages spoken
- English
Location
First Address
- Roger D Shelton
- 7315 212th St Sw #204
- Edmonds, WA
- Zip : 98026-7610
- Fax : (425) 775-9844
- Phone : (425) 771-3311
Second Address
- Roger D Shelton
- 7315 212th St Sw #204
- Edmonds, WA
- Zip : 98026-7610
- Fax : (425) 775-9844
- Phone : (425) 771-3311
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207VG0400X | Gynecologist | MD00015787 | WA |
National Provider Identifier
| NPI | 1073543971 |
|---|---|
| Provider Name | Roger D Shelton |
| First Address | Edmonds, WA 98026-7610 |
| Second Address | Edmonds, WA 98026-7610 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/07/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1502608 | (05) | WA |
| A09197 | (02) | WA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.