Individual
SHANE A MILLIRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1244 N GREENFIELD RD, MESA, AZ 85205-4077
(480) 964-6900
(480) 964-6901
Mailing address
1244 N GREENFIELD RD, MESA, AZ 85205-4077
(480) 964-6900
(480) 964-6901
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
6203
AZ
Other
Enumeration date
10/28/2015
Last updated
01/22/2024
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