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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. PAUL ANTHONY SHAKSTAD JR., PA-C

Active

MR. PAUL ANTHONY SHAKSTAD JR., PA-C is a Physician Assistant healthcare provider located in SIERRA VISTA, Arizona. NPI 1568974632 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · SIERRA VISTA, AZ

Registration Details

NPI Number
1568974632
Provider Type
Individual
Gender
Male
NPI Issued
Oct 30, 2017 (8.7517471717927 yrs)
Last Updated
Aug 21, 2023
Licenses
6821 (AZ)
PA-2570 (ID)

Practice Information

Address
5700 E HIGHWAY 90
SIERRA VISTA, AZ, 856359110
Browse AZ providers · Browse ZIP 85635
Phone
5202632000
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in SIERRA VISTA, AZ

Name Credential NPI
HEATHER D JONES PA-C 1255397378
MS. ELIZABETH A REESE PA-C 1992895452
MRS. ANGELA ALLRED PA-C 1346329844
MRS. ABBY MARIE ALVAREZ 1457753816
MCKAY REES TINGEY PA-C 1598367922
MICHELLE JOY SOLIVEN RABARA PA-C 1043892250
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.