Individual
JOSEPH PATRICK SHORTALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3655 E GRANT RD, TUCSON, AZ 85716-2933
(520) 670-3909
(520) 309-2560
Mailing address
839 W CONGRESS ST, TUCSON, AZ 85745-2819
(520) 670-3909
(520) 309-2560
Taxonomy
Speciality
Code
Description
License number
State
207RA0401X
Addiction Medicine (Internal Medicine) Physician
010213
AZ
2084P0800X
Psychiatry Physician
Primary
010213
AZ
Other
Enumeration date
05/30/2018
Last updated
01/24/2025
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