Individual
JEREMY M SHEFNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
240 W THOMAS RD # 400, PHOENIX, AZ 85013
(602) 406-6262
(602) 406-6261
Mailing address
240 W THOMAS RD # 400, PHOENIX, AZ 85013-4407
(602) 406-6262
(602) 406-6261
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
204580
NY
2084N0400X
Neurology Physician
Primary
49535
AZ
2084N0600X
Clinical Neurophysiology Physician
204580
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01713868
—
NY
Enumeration date
05/02/2006
Last updated
09/19/2018
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