Individual
DR. SHANE B MADSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
650 E INDIAN SCHOOL RD, PHOENIX, AZ 85012-1839
(602) 277-5551
Mailing address
2844 E WAGONER RD, PHOENIX, AZ 85032-8828
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
PH00047783
WA
1835P1300X
Psychiatric Pharmacist
14763
AZ
Other
Enumeration date
08/25/2006
Last updated
09/11/2025
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