Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MICHAEL GRAY SHELL, D.O.
ActivePain Medicine (PM&R) · LONGMONT, CO
Registration Details
- NPI Number
- 1518925718
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 4, 2006 (19.96407646646 yrs)
- Last Updated
- Jul 16, 2021
- License
-
35565 (CO)
Practice Information
- Address
-
1551 PROFESSIONAL LN UNIT 180LONGMONT, CO, 805016970Browse CO providers · Browse ZIP 80501
- Phone
- 7204763421
- Fax
- 7205025271
- Primary Specialty
-
Pain Medicine (PM&R)
2081P2900X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.