Individual
JOHN J SHUFELDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
350 W THOMAS RD, PHOENIX, AZ 85013-4409
(602) 406-3000
(602) 406-7165
Mailing address
1241 W MINERAL AVE, SUITE 100, LITTLETON, CO 80120-5685
(303) 759-0854
(303) 759-0864
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
17236
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
069030
—
AZ
01
—
930045347
RAILROAD MEDICARE
AZ
01
—
930115452
RAILROAD MEDICARE
AZ
01
—
930128433
RAILROAD MEDICARE
AZ
01
—
P30020539
RAILROAD MEDICARE
AZ
Enumeration date
06/28/2006
Last updated
02/11/2010
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