Organization
RED TAIL HAWK RANCH PLLC
Active
Organization
RED TAIL HAWK RANCH PLLC
Active
Other names
John 3:17 Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL EDWARD SHEEHY DO (MEDICAL DIRECTOR)
(702) 274-8220
Entity
Organization
Contact information
Practice address
3462 E LAWMAN DR, KINGMAN, AZ 86401-6591
(702) 274-8220
(928) 251-8079
Mailing address
3462 E LAWMAN DR, KINGMAN, AZ 86401-6591
(702) 274-8220
(928) 251-8079
Taxonomy
Speciality
Code
Description
License number
State
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
Primary
—
—
Other
Enumeration date
08/06/2025
Last updated
04/28/2026
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