Individual provider · Type 1 NPI

Shaw J. Mahre, PA-C

Surgical Physician Assistant · Chandler, AZ

NPI number 1053050237 Active

Practice location

1455 W Chandler Blvd Bldg B #8
Chandler, AZ 85224-6177

Call (480) 899-1696 Map

Fax (480) 963-6227

Mailing address

PO Box 6423
Chandler, AZ 85246-6423

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Surgical Physician Assistant Primary 363AS0400X9315 (AZ)

Surgical Physician Assistant: Definition to come...

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About NPI 1053050237

Shaw J. Mahre, PA-C's National Provider Identifier is 1053050237, issued on Jun 3, 2022. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Chandler, AZ. The record was last updated on Aug 23, 2024.