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Organization
CREOSOTE TOTAL HEALTH PC
Active
Organization
CREOSOTE TOTAL HEALTH PC
Active
Other names
Creosote Total Health
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SIMON SHEARD DO (PHYSICIAN/OWNER)
(480) 269-3208
Entity
Organization
Contact information
Practice address
8380 S KYRENE RD # D-103, TEMPE, AZ 85284-2120
(480) 269-3208
(480) 674-1295
Mailing address
8380 S KYRENE RD # D-103, TEMPE, AZ 85284-2120
(480) 269-3208
(480) 674-1295
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/15/2022
Last updated
04/17/2024
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