person
O. Howard Shattuck JR., PA
Surgical Physician Assistant in Loma Linda, California
NPI 1568569598

O. Howard Shattuck JR. is a Surgical Physician Assistant based in Los Angeles, CA and is specialized in Surgical. O. Howard Shattuck JR. practices in Loma Linda, CA and has the professional credentials of PA. The NPI Number for O. Howard Shattuck JR. is 1568569598 and holds a License No. PA10544 (California).

The current practice location address for O. Howard Shattuck JR. is 11370 Anderson St, Loma Linda, CA and can be reached out via phone at 909-558-2822.

Location: 11370 Anderson St, Loma Linda, CA, 90074-4701
person
Provider Profile Details
NPI Number
1568569598
Provider Name
O. Howard Shattuck JR.
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
11370 Anderson St, Loma Linda, CA, 90074-4701
Phone Number
909-558-2822
Fax Number
Provider Enumeration Date
09/20/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
11370 Anderson St
City
State
Zip
92354-3450
Phone Number
909-558-2822
Fax Number
person
Provider Business Mailing Address Details
Address
11370 Anderson St
City
State
Zip
92354-3450
Phone Number
909-558-2822
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
PA10544 (California)
Definition
Definition to come...
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