SHELLA DARGOUT

BUFFALO, NY
NPI1093081556
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: NY  015538)
Enumeration Date2012-03-29
Last Update Date2014-03-13
Business Address
-- SHELLA DARGOUT PA
100 HIGH ST
BUFFALO, NY 14203
Phone number: 716-691-8838
Mailing Address
-- SHELLA DARGOUT PA
6 FOUNTAIN PLZ
BUFFALO, NY 14202-2211
Phone number: 585-944-6138