Provider Demographics
NPI:1316920770
Name:RING, SHELLIE J (MD)
Entity type:Individual
Prefix:DR
First Name:SHELLIE
Middle Name:J
Last Name:RING
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:SHELLIE
Other - Middle Name:J
Other - Last Name:SCHMIDTGALL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 27128
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84127-0128
Mailing Address - Country:US
Mailing Address - Phone:801-285-4543
Mailing Address - Fax:
Practice Address - Street 1:3723 W 12600 S STE 330
Practice Address - Street 2:
Practice Address - City:RIVERTON
Practice Address - State:UT
Practice Address - Zip Code:84065-7296
Practice Address - Country:US
Practice Address - Phone:801-285-4543
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-11-21
Last Update Date:2016-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT364200-1205208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics