Shane E Reynolds, PA-C

NPI #1285727859 in Peoria, Arizona

Provider Information

NPI Number
1285727859
Entity Type
Individual
Name
Shane E Reynolds, PA-C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
PA-C
Enumeration Date
Oct 2, 2006
Last Updated
Sep 9, 2010

Practice Location

Address
7615 W THUNDERBIRD RD
Address 2
STE 106
City
Peoria
State
Arizona
ZIP Code
85381-6083
Phone
(623) 773-2273

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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