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Individual
DR. RICK A SHACKET
Active
Individual
DR. RICK A SHACKET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO MD H
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
4257
AZ
208C00000X
Colon & Rectal Surgery Physician
Primary
4257
AZ
Other
Enumeration date
10/25/2006
Last updated
11/22/2024
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