Mitra S. Shultz, PA-C

NPI #1831600667 in Granite City, Illinois

Provider Information

NPI Number: 1831600667
Entity Type: Individual
Name: Mitra S. Shultz, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Oct 19, 2017
Last Updated: Oct 19, 2017

Practice Location

Address: 2044 MADISON AVE STE 6
City: Granite City
State: Illinois
ZIP Code: 62040-4659
Phone: (618) 798-3475

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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