Organization
ERIC O SHREDER DO PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC OTTO SHREDER DO (PHYSICIAN)
(480) 926-8000
Entity
Organization
Contact information
Practice address
4838 E BASELINE RD, #103, MESA, AZ 85206-4671
(480) 926-8000
(480) 926-3445
Mailing address
4838 E BASELINE RD, #103, MESA, AZ 85206
(480) 926-8000
(480) 926-3445
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3456
AZ
Other
Enumeration date
05/10/2007
Last updated
07/24/2008
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