Philip Lee Shettle D.O.

NPI 1023016243 - Ophthalmology - 207W00000X

NPI Details
NPI 1023016243
Gender Male
Enumeration Date 07/12/2005
Last Updated 09/16/2011
Entity Type Individual
Active Over 11 years ago
Practice Location
13113 66TH ST
LARGO FL, 33773-1812, US
Phone (727) 674-2500
Fax (727) 674-2550
Business Location
13113 66TH ST
LARGO FL, 33773-1812, US
Phone (727) 679-2500
Fax (727) 679-2550
Toxanomy
Taxonomy Code 207W00000X
License State Michigan
License Number 5101010879
Remove 1023016243 NPI Number
 

According to our database, Philip Lee Shettle D.O. NPI is 1023016243, taxonomy code is 207W00000X and license number is 5101010879, license state is located at Michigan. Philip Lee Shettle D.O. physically located at 13113 66th St, Largo FL, 33773-1812. NPI Number Philip Lee Shettle D.O. has the Individual type.

Sponsored links

1023016243 NPI number is provided on an as is basis without warranty of any kind. 1023016243 is maintained by the National Plan & Provider Enumeration System. The contents of Philip Lee Shettle D.O. are for informational purposes only.