Search › Arizona › 207W00000X
Jonathan Shader, DO
NPI 1689038986 · on the registry since 2016 · sole proprietor
Practice
- Address
- 297 Lake Havasu Ave S Ste 204
Lake Havasu City, AZ 86403 - Phone
- (928) 490-2121
- Organisation at this address
- Shader Vision
Krystal Telnes, Pllc
Fps Medical Center Ltd
True Rehab Of Arizona,Llc
E Franklin Livingstone Md PcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 7
Additional practice sites
- 1120 15th St # Ba-2720, Augusta, GA
Registry record
- Primary taxonomy
- 207W00000X
207W00000X
- Also registered as
- 207W00000X
390200000X - Licence states on file
- GA, AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-09-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona