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BRANDON C SHELLEY, DPM – NPI #1043411523
Surgery, Foot & Ankle

NPI Profile for Dr BRANDON C SHELLEY in ROCK SPRINGS, WY.

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Contact Information

BRANDON C SHELLEY, DPM
2631 FOOTHILL BLVD
SUITE C
ROCK SPRINGS, WY  82901-4771
 Phone: 307-362-9545
 Fax: 307-362-9732
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

 213ES0103X 48 Podiatry
 

Podiatrist

 213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for BRANDON C SHELLEY · (Male)

NPI # 1043411523
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 05/30/2007
Last updated 06/19/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • MO License # 2007005956
  • SD License # 218
  • WY License # 145
  • MO Other 35666011 BC/BS OF KANSAS
  • MO Other 5648250001 NORDIAN ADMINISTRATIVE
Hospital affiliation(s)
  • MEMORIAL HOSPITAL SWEETWATER COUNTY - (Acute Care)
    1200 COLLEGE DRIVE
    ROCK SPRINGS, WY 82901
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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