MR. Willie Tregg Shelton, MPAS, PA-C

NPI #1811108517 in Ft Polk, Louisiana

Provider Information

NPI Number: 1811108517
Entity Type: Individual
Name: MR. Willie Tregg Shelton, MPAS, PA-C
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Credential: MPAS, PA-C
Enumeration Date: May 24, 2007
Last Updated: Oct 27, 2021

Practice Location

Address: BAYNE-JONES ARMY COMMUNITY HOSPITAL
Address 2: 1585 3RD ST.
City: Ft Polk
State: Louisiana
ZIP Code: 71446
Phone: (337) 531-4521

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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