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NPI Code Detail

MEDICARE: DR. DAVID G. SHELDON M.D.

MEDICARE: DR. DAVID G. SHELDON M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208600000XSurgery PhysicianG175650CA
2208600000XSurgery Physician12029MT
32086X0206XSurgical Oncology Physician12029MT

General Provider Information

NPI Number : 1497713598
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID G. SHELDON M.D.
Provider Business Mailing Address
First Line : 325 DISTEL CIR
Second Line :
City : LOS ALTOS
State : CA
Zip : 94022-1408
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1333 SURGICAL SERVICES WAY
Second Line :
City : KALISPELL
State : MT
Zip : 59901-4844
Country : US
Telephone Number : 406-751-5392
Fax Number : 406-751-5406
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/01/2006
Last Update Date : 02/03/2025

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