Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Creosote Total Health PC

Organization Family Medicine Physician · NPI 1043928476

Creosote Total Health PC is a Family Medicine Physician in Tempe, Arizona. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

8380 S Kyrene Rd # D-103
Tempe, AZ 85284-2120
Phone: (480) 269-3208
Fax: (480) 674-1295
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1043928476
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Simon Sheard — Physician/Owner · (480) 269-3208
Other names Creosote Total Health; Creosote Total Health
NPI enumeratedNovember 15, 2022
Last updated in NPPESApril 17, 2024
Certification dateApril 17, 2024
Mailing address8380 S Kyrene Rd # D-103, Tempe, AZ 85284-2120

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