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Organization

SHEA MEDICAL GROUP, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ELLIE DESCALZO (CREDENTIALING OFFICER)
(480) 926-7800
Entity
Organization

Contact information

Practice address
3337 N MILLER RD STE 102, SCOTTSDALE, AZ 85251-6496
(480) 926-7800
Mailing address
2250 E GERMANN RD STE 8, CHANDLER, AZ 85286-1575
(480) 926-7800

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
208100000X
Physical Medicine & Rehabilitation Physician
208D00000X
General Practice Physician
Primary
225100000X
Physical Therapist
363A00000X
Physician Assistant

Other

Enumeration date
03/16/2021
Last updated
03/16/2021
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