Individual
DR. JOHN SHANE O'SHURA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 E HIGH ST, POTTSTOWN, PA 19464-5008
(215) 872-8023
Mailing address
1600 E HIGH ST, POTTSTOWN, PA 19464-5008
(215) 872-8023
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
2009-00359
NC
207P00000X
Emergency Medicine Physician
Primary
MD434852
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1030572980001
—
PA
Enumeration date
07/28/2007
Last updated
09/27/2016
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