Individual
JOHN O'SHEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
107 E OAK AVE, FLAGSTAFF, AZ 86001-1818
(928) 779-7880
Mailing address
575 TURNPIKE ST STE 21, NORTH ANDOVER, MA 01845-5937
(978) 794-1946
(978) 975-3925
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
055.0031458
VT
363A00000X
Physician Assistant
10516
AZ
Other
Enumeration date
10/08/2018
Last updated
10/23/2024
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