Organization
DR RICK SHACKET PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICK SHACKET D.O. (OWNER)
(602) 492-9919
Entity
Organization
Contact information
Practice address
1525 N GRANITE REEF RD STE 12, SCOTTSDALE, AZ 85257-3998
(602) 492-9919
(602) 263-3697
Mailing address
8 BILTMORE EST UNIT 201, PHOENIX, AZ 85016-2839
(602) 920-1023
(602) 263-3697
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
—
—
207Q00000X
Family Medicine Physician
4257
AZ
208C00000X
Colon & Rectal Surgery Physician
Primary
4257
AZ
Other
Enumeration date
11/01/2009
Last updated
11/22/2024
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