Individual
DR. RICK A SHACKET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO MD H
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 ESTATES DRIVE, # 201, PHOENIX, AZ 85016
(602) 920-1023
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
4257
AZ
208C00000X
Colon & Rectal Surgery Physician
Primary
4257
AZ
Other
Enumeration date
10/25/2006
Last updated
11/22/2024
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