Search › Arizona › 152W00000X
Shane Theobald, OD
NPI 1760415947 · on the registry since 2006
Practice
- Address
- 1717 W. Chandler Blvd
Chandler, AZ 85224 - Phone
- (480) 821-7565
- Fax
- (480) 821-4303
- Organisation at this address
- Cigna Health Care Of Arizona Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 17
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Licence states on file
- AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-03-04
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