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Organization

RICHARD P SHAUGHNESSY, IV D.O. PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DEANNE M VANAUSDAL (OFFICE MANAGER)
(602) 254-6686
Entity
Organization

Contact information

Practice address
1300 N 12TH ST, #603, PHOENIX, AZ 85006-2848
(602) 254-6686
(602) 254-4258
Mailing address
1300 N 12TH ST, #603, PHOENIX, AZ 85006-2848
(602) 254-6686
(602) 254-4258

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
3911
AZ

Other

Enumeration date
04/11/2007
Last updated
06/21/2018
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