Graduated: 2022
NPI: 1043940679
Practice Locations (2)
SHELLMAN INC PA
1172 W HAYDEN AVE
HAYDEN, ID 838358700
2087623332
SHELLMAN INC PA
2110 N MOLTER RD, SUITE 113
LIBERTY LAKE, WA 990199487
5095588801
Source: CMS National Downloadable File, September 2026.