Individual
MR. DARREN E SHOBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.-C.
Contact information
Practice address
1818 E SKY HARBOR CIR N STE 150, PHOENIX, AZ 85034-3410
(602) 244-9500
(602) 244-9543
Mailing address
953 E BUCKINGHAM AVE, GILBERT, AZ 85297-1798
(480) 789-2417
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
5379
AZ
363A00000X
Physician Assistant
Primary
PA06817
TX
363AS0400X
Surgical Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
281185301
—
TX
05
—
281185302
—
TX
05
—
281185303
—
TX
05
—
29851050
—
NM
Enumeration date
06/11/2010
Last updated
01/10/2014
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