|Active||Over 10 years ago|
|1717 W. CHANDLER BLVD
CHANDLER AZ, 85224, US
|25500 N. NORTERRA PARKWAY, BLDG B
PHOENIX AZ, 85085, US
|Remove 1760415947 NPI Number|
According to our database, Shane Theobald OD NPI is 1760415947, taxonomy code is 152W00000X and license number is 1521, license state is located at Arizona. Shane Theobald OD physically located at 1717 W. Chandler Blvd, Chandler AZ, 85224. NPI Number Shane Theobald OD has the Individual type.
1760415947 NPI number is provided on an as is basis without warranty of any kind. 1760415947 is maintained by the National Plan & Provider Enumeration System. The contents of Shane Theobald OD are for informational purposes only.