DAVID SHELLEY

BLACKFOOT, ID
NPI1386685535
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085R0204X Radiology, Vascular & Interventional Radiology
(Licence: ID  M-10024)
Enumeration Date2006-06-09
Last Update Date2010-09-27
Business Address
-- DAVID SHELLEY md
98 POPLAR ST
BLACKFOOT, ID 83221-1758
Phone number: 208-785-4100
Mailing Address
-- DAVID SHELLEY md
98 POPLAR ST
BLACKFOOT, ID 83221-1758
Phone number: 208-785-4100
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