NPI | 1114013349 |
---|---|
Other Name | DEWEY R. SHELLEY M.D. |
Entity Type | Organization |
Authorized Contact | DEWEY R SHELLEY Owner 870-236-3308 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: AR E-4246) |
Enumeration Date | 2006-10-05 |
Last Update Date | 2020-08-22 |