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
—
—
Other
Enumeration date
11/15/2022
Last updated
04/17/2024
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