Benjamin Shettell, MD
General Practice in Redding, CA. Organization (NPI-2).
NPI number1689944530
StatusActive
Last updated in NPPESJan 10, 2012
Details
- NPI
- 1689944530
- Entity type
- Organization (NPI-2)
- Legal business name
- Benjamin Shettell, MD
- Organization subpart
- No
- Enumeration date
- Jan 10, 2012
- Last updated
- Jan 10, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208D00000X | General Practice | A106932 | CA | Yes |
Practice location
2632 Edith Ave Ste BRedding, CA 96001-3031
Phone 530-242-1227 · Fax 530-242-6078
Mailing address
2632 Edith Ave Ste BRedding, CA 96001-3031
Phone 530-242-1227 · Fax 530-242-6078
Authorized official
Amanda Kaye Harris
Office Manager
5302421227
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