| NPI | 1043928476 |
|---|---|
| Doing Business As | CREOSOTE TOTAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | SIMON SHEARD Physician/Owner 480-269-3208 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2022-11-15 |
| Last Update Date | 2024-04-17 |