Individual
DONALD CHARLES SHERIDAN
Active
Individual
DONALD CHARLES SHERIDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
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
Update your record
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