NPI 1043928476
Creosote Total Health PC
Practice location
- Address
- 8380 S Kyrene Rd # D-103, Tempe, AZ 85284-2120
- Phone
- (480) 269-3208
- Fax
- (480) 674-1295
Authorised official
- Name
- Simon Sheard
- Title
- Physician/Owner
- Phone
- (480) 269-3208
Registered specialties
Family Medicine Physician
Primary
Registry record
- NPI
- 1043928476
- Entity type
- Organization
- NPI issued
- 15 Nov 2022
- Record last updated
- 17 Apr 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.