Provider Demographics
NPI:1871640698
Name:SHELTON, JULIA (MD, MPH)
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:
Last Name:SHELTON
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 HAWKINS DR
Mailing Address - Street 2:DEPARTMENT OF SURGERY, DIVISION OF PEDIATRIC SURGERY
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52242-1009
Mailing Address - Country:US
Mailing Address - Phone:319-356-1766
Mailing Address - Fax:319-384-9510
Practice Address - Street 1:200 HAWKINS DR
Practice Address - Street 2:DEPARTMENT OF SURGERY, DIVISION OF PEDIATRIC SURGERY
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52242-1009
Practice Address - Country:US
Practice Address - Phone:319-356-1766
Practice Address - Fax:319-384-9510
Is Sole Proprietor?:No
Enumeration Date:2007-01-04
Last Update Date:2015-06-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IAMD-425082086S0120X, 208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0120XAllopathic & Osteopathic PhysiciansSurgeryPediatric Surgery
No208600000XAllopathic & Osteopathic PhysiciansSurgery