Richard Patrick Shaughnessy IV DO

NPI 1689776254 - Internal Medicine - 207R00000X

NPI Details
NPI 1689776254
Gender Male
Enumeration Date 09/02/2006
Last Updated 04/04/2014
Entity Type Individual
Active Over 10 years ago
Practice Location
1300 N 12TH ST
#603
PHOENIX AZ, 85006-2848, US
Phone (602) 254-6686
Fax (602) 254-4258
Business Location
3707 N 7TH ST
SUITE 200
PHOENIX AZ, 85014-5059, US
Phone (602) 254-6686
Fax (602) 254-4258
Toxanomy
Taxonomy Code 207R00000X
License State Arizona
License Number 3911
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According to our database, Richard Patrick Shaughnessy IV DO NPI is 1689776254, taxonomy code is 207R00000X and license number is 3911, license state is located at Arizona. Richard Patrick Shaughnessy IV DO physically located at 1300 N 12th St, Phoenix AZ, 85006-2848. NPI Number Richard Patrick Shaughnessy IV DO has the Individual type.

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1689776254 NPI number is provided on an as is basis without warranty of any kind. 1689776254 is maintained by the National Plan & Provider Enumeration System. The contents of Richard Patrick Shaughnessy IV DO are for informational purposes only.