Individual
JOHN PAUL SHONERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3524 HEATHROW WAY, MEDFORD, OR 97504-2770
(541) 646-3505
(541) 646-3553
Mailing address
2900 DOCTORS PARK DR, MEDFORD, OR 97504-8127
(541) 282-2200
(541) 282-2237
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO13134
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
269282
—
OR
Enumeration date
07/27/2006
Last updated
05/05/2010
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