| Doctor Name: | DR. TRENT SHELTON |
| NPI Number: | 1407002355 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.O. |
| License Number: | 11485 |
| Business Practice Address: | 1 Medical Center Dr Dhmc Department Of Radiology Lebanon, NH - 037561000 |
| Business Phone Number: | 6036507480 |
| Business Fax Number: | |
| Mailing Address: | 1 Medical Center Dr, Dhmc Department Of Radiology LEBANON |
| State: | NH |
| Postal Code: | 037561000 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 08/12/2008 |
| NPI Last Update Date: | 04/06/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 11485 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | ND |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |