Individual
DR. SHIRLEY OHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
919 12TH PL STE 6, PRESCOTT, AZ 86305-1433
(928) 445-4166
(928) 776-9668
Mailing address
919 12TH PL STE 6, PRESCOTT, AZ 86305-1433
(928) 445-4166
(928) 776-9668
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
13862
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
228975
—
AZ
Enumeration date
12/26/2006
Last updated
03/01/2011
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