Individual
DR. JON R SHERECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
107 E OAK AVE, FLAGSTAFF, AZ 86001
(928) 779-7880
(928) 913-8801
Mailing address
107 E OAK AVE, FLAGSTAFF, AZ 86001
(928) 779-7880
(928) 913-8801
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
23059
NE
207X00000X
Orthopaedic Surgery Physician
7631
ND
207X00000X
Orthopaedic Surgery Physician
C153955
CA
207XX0801X
Orthopaedic Trauma Physician
Primary
59429
AZ
Other
Enumeration date
08/31/2005
Last updated
11/26/2019
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