Individual provider · Type 1 NPI

Mitra S. Shultz, PA-C

Physician Assistant · Granite City, IL

NPI number 1831600667 Active

Practice location

2044 Madison Ave Ste 6
Granite City, IL 62040-4659

Fax (618) 798-3868

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X085006383 (IL)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1831600667

Mitra S. Shultz, PA-C's National Provider Identifier is 1831600667, issued on Oct 19, 2017. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Granite City, IL. The record was last updated on Oct 19, 2017.