Individual
SHANE RATHMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4101 W UNION HILLS DR, 2018, GLENDALE, AZ 85308-1729
(602) 561-4813
Mailing address
4101 W UNION HILLS DR, 2018, GLENDALE, AZ 85308-1729
(602) 561-4813
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
14-478
AZ
Other
Enumeration date
09/22/2014
Last updated
09/22/2014
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