Most Relevant Information
Provider Data
| NPI Number: | 1003357146 |
| Provider Name: | ANDREW SHELBY |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: | RES-30506 |
Most Important Dates
| Enumeration Date: | 03/08/2017 |
| Last Updated: | 10/11/2017 |
Provider Practice Location
322 DENTAL SCIENCE S
IOWA CITY
IA
522421001
Practice Location Phone/Fax
| Phone: | 3193357440 |
| Fax: |
Provider Mailing Location
5332 E BASELINE RD
APT 3024
MESA
AZ
852064717
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |