John L Shasteen
Medical Specialty
Professional ID
- NPI: 1871525071
- PECOS ID: 5496820250
- Enrollment ID: I20080814000008
- Credential(MD, DO, DPM):
- Medical School:
- Medical School Graduation Year: 1980
Medical Practices
- Organization Name: John L Shasteen Llc
- Group Practice ID assigned by PECOS: 0244536530
- Number of Group Practice member: 0
Location
- Address1: 1803 Sw Regional Airport Blvd
- Address2: Suite 5
- City: Bentonville
- State: Arkansas
- Zip Code: 72712
- Phone Number: (479)876-8626
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS):
- Used Electronic health record (EHR):