Individual
SHAW J MAHRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1455 W CHANDLER BLVD BLDG B #8, CHANDLER, AZ 85224-6177
(480) 899-1696
(480) 963-6227
Mailing address
PO BOX 6423, CHANDLER, AZ 85246-6423
(480) 821-2838
(480) 821-9994
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
9315
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/03/2022
Last updated
08/23/2024
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