| NPI | 1023016243 |
|---|---|
| Professional Name | PHILIP LEE SHETTLE |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: FL OS 6621) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: CO 32591) |
| 207W00000X Ophthalmology (Licence: MI 5101010879) | |
| Enumeration Date | 2005-07-12 |
| Last Update Date | 2020-12-16 |