Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
O. HOWARD SHATTUCK JR., P.A.
ActiveO. HOWARD SHATTUCK JR., P.A. is a Surgical Physician Assistant healthcare provider located in LOMA LINDA, California. NPI 1568569598 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · LOMA LINDA, CA
Registration Details
- NPI Number
- 1568569598
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 20, 2006 (19.895395367565 yrs)
- Last Updated
- Sep 24, 2007
- License
-
PA10544 (CA)
Practice Information
- Address
-
11370 ANDERSON STSTE 2100LOMA LINDA, CA, 923543450Browse CA providers · Browse ZIP 92354
- Phone
- 9095582822
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
Other Surgical Physician Assistant Providers in LOMA LINDA, CA
| Name | Credential | NPI |
|---|---|---|
| LEIGH ANN BALLOU | PA-C | 1891794657 |
| JASON L RODDICK | PA-C | 1164509899 |
| ANDREA RIDA | — | 1629541354 |
| PETER PAUL PENG | PA-C | 1497421747 |
| ANDREW FELIX | — | 1851179154 |
| MR. MARK DOUGLAS GROVE | PA-C | 1679306153 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.