National Provider Identifier
Shella Dargout, PA
Shella Dargout, PA is listed in the NPPES registry with a primary specialty of Physician Assistant in Buffalo, NY and a listed phone number of (716) 691-8838.
Profile Overview
- NPI
- 1093081556
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- March 29, 2012
- Last Updated
- March 13, 2014
Practice Location
- 100 High St
- Buffalo, NY 14203
Phone: (716) 691-8838
Mailing Address
- 6 Fountain Plz
- Buffalo, NY 14202-2211
Specialties
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1093081556
- Entity Type
- Individual
- Last Name
- Dargout
- First Name
- Shella
- Credential
- PA
- Mailing Street Address
- 6 Fountain Plz
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14202-2211
- Mailing Country
- US
- Mailing Phone
- (585) 944-6138
- Practice Street Address
- 100 High St
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14203
- Practice Country
- US
- Practice Phone
- (716) 691-8838
- Practice Fax
- (716) 851-8014
- Enumeration Date
- March 29, 2012
- Last Updated
- March 13, 2014
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X)