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Individual

DR. SHANE JAMES NYLIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5555 W THUNDERBIRD RD, GLENDALE, AZ 85306-4622
(602) 865-5555
Mailing address
5342 PONTIAC RD, GLENDALE, AZ 85308

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
71299
AZ

Other

Enumeration date
04/05/2019
Last updated
07/18/2024
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