Individual
ROMY BIANCA SHANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1919 E THOMAS RD, PHOENIX, AZ 85016-7710
(602) 933-0777
(602) 933-0755
Mailing address
2108 E THOMAS RD STE 130, PHOENIX, AZ 85016-0008
(602) 933-1814
Taxonomy
Speciality
Code
Description
License number
State
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
58516
AZ
208M00000X
Hospitalist Physician
58516
AZ
Other
Enumeration date
04/26/2016
Last updated
07/22/2024
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