| Doctor Name: | ROGER D SHELTON |
| NPI Number: | 1073543971 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | MD00015787 |
| Business Practice Address: | 7315 212th St Sw #204 Edmonds, WA - 980267610 |
| Business Phone Number: | 4257713311 |
| Business Fax Number: | 4257759844 |
| Mailing Address: | 7315 212th St Sw, #204 EDMONDS |
| State: | WA |
| Postal Code: | 980267610 |
| Phone Number: | 4257713311 |
| Fax Number: | 4257759844 |
| NPI Enumeration Date: | 07/04/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207VG0400X |
| License Number: | MD00015787 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Obstetrics & Gynecology |
| Taxonomy Specialization: | Gynecology |
| Taxonomy Definition: | |