MARK R SHELLY

ENCINO, CA
NPI1902922149
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy213ES0103X Podiatrist, Foot & Ankle Surgery
(Licence: CA  E3427)
Enumeration Date2007-03-21
Last Update Date2017-02-14
Business Address
MARK R SHELLY DPM
17609 VENTURA BLVD STE 210
ENCINO, CA 91316-5123
Phone number: 818-708-7668
Mailing Address
MARK R SHELLY DPM
13652 CANTARA ST
PANORAMA CITY, CA 91402-5423
Phone number: 818-375-2000
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