Individual
RICHARD PATRICK SHAUGHNESSY IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1300 N 12TH ST, SUITE 603, PHOENIX, AZ 85006-2848
(602) 254-6686
(602) 254-4258
Mailing address
3020 E CAMELBACK RD, SUITE 301, PHOENIX, AZ 85014-5059
(602) 264-9100
(602) 264-9101
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
3911
AZ
Other
Enumeration date
09/02/2006
Last updated
02/17/2017
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