Dr MARK SHELLEY is a male medical professional, specializing in Family Medicine. He graduated in 1985.
1 WILLOW ST
BOX 307
PORT ALLEGANY
PA
167431332
Tel:
| Npi | 1336106954 |
| Pac Id | 3173594991 |
| Professional Enrollment Id | I20101022001186 |
| Last Name | SHELLEY |
| First Name | MARK |
| Middle Name | |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 1985 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | |
| Group Practice Pac Id | |
| Number Of Group Practice Members | |
| Line 1 Street Address | 1 WILLOW ST |
| Line 2 Street Address | BOX 307 |
| Marker Of Address Line 2 Suppression | |
| City | PORT ALLEGANY |
| State | PA |
| Zip Code | 167431332 |
| Phone Number | |
| Hospital Affiliation Ccn 1 | 391313 |
| Hospital Affiliation Lbn 1 | CHARLES COLE MEMORIAL HOSPITAL |
| Hospital Affiliation Ccn 2 | 330103 |
| Hospital Affiliation Lbn 2 | OLEAN GENERAL HOSPITAL |
| Hospital Affiliation Ccn 3 | 391315 |
| Hospital Affiliation Lbn 3 | PENN HIGHLANDS ELK |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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