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Shane Joseph Ewalt, PHYSICIANASSISTANT
Physician Assistant in Chandler, Arizona
NPI 1679091920

Shane Joseph Ewalt is a Physician Assistant based in Phoenix, AZ. Shane Joseph Ewalt practices in Chandler, AZ and has the professional credentials of PHYSICIANASSISTANT. The NPI Number for Shane Joseph Ewalt is 1679091920 and holds a License No. 6865 (Arizona).

The current practice location address for Shane Joseph Ewalt is 525 S Chandler Village Dr, Chandler, AZ and can be reached out via phone at 480-750-0303 and via fax at 480-786-5202. You can also correspond with Shane Joseph Ewalt through the mailing address at PO BOX 80217, PHOENIX, AZ - 85060-0217 (mailing address contact number: 602-385-2115).

Location: 525 S Chandler Village Dr, Chandler, AZ, 85060-0217
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679091920
Provider Name
Shane Joseph Ewalt
Credential
PHYSICIANASSISTANT
Provider Entity Type
Individual
Gender
Male
Address
525 S Chandler Village Dr, Chandler, AZ, 85060-0217
Phone Number
480-750-0303
Fax Number
480-786-5202
Provider Enumeration Date
09/07/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
326698 05 AZ
institution
Provider Business Practice Location Address Details
Address
525 S Chandler Village Dr
City
Chandler
State
Arizona
Zip
85226-5069
Phone Number
480-750-0303
Fax Number
480-786-5202
person
Provider Business Mailing Address Details
Address
525 S Chandler Village Dr
City
Chandler
State
Arizona
Zip
85226-5069
Phone Number
480-750-0303
Fax Number
480-786-5202
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
6865 (Arizona)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
363AS0400X
License No.
6865 (Arizona)
Definition
Definition to come...
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