Individual
SHAWNA SANDO BOYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5779 E MAYO BLVD, PHOENIX, AZ 85054-4502
(480) 301-8000
Mailing address
5779 E MAYO BLVD, PHOENIX, AZ 85054-4502
(480) 301-8000
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
4728
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
556001
—
AZ
Enumeration date
09/24/2010
Last updated
03/26/2013
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