Individual
DONALD CHARLES SHERIDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10213 N 92ND ST, SUITE 101, SCOTTSDALE, AZ 85258-4561
(480) 860-6005
(480) 860-1882
Mailing address
10213 N 92ND ST, SUITE 101, SCOTTSDALE, AZ 85258-4561
(480) 860-6005
(480) 860-1882
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
24106
AZ
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
24106
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00514071
INTERGROUP
AZ
01
—
200034022
RAILROAD MEDICARE
—
01
—
2032674
AETNA
AZ
01
—
24479
MEDICARE PTAN
AZ
01
—
34408604
AHCCCS
AZ
01
—
AZ0831310
BLUE CROSS BLUE SHIELD
AZ
Enumeration date
05/05/2006
Last updated
11/14/2014
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