Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANE JOSEPH EWALT, PHYSICIAN ASSISTANT
ActiveSHANE JOSEPH EWALT, PHYSICIAN ASSISTANT is a Physician Assistant healthcare provider located in CHANDLER, Arizona. NPI 1679091920 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · CHANDLER, AZ
Registration Details
- NPI Number
- 1679091920
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 7, 2017 (8.8927348069805 yrs)
- Last Updated
- Jul 29, 2022
- Licenses
-
6865 (AZ)6865 (AZ)
Practice Information
- Address
-
525 S CHANDLER VILLAGE DRCHANDLER, AZ, 852265069Browse AZ providers · Browse ZIP 85226
- Phone
- 4807500303
- Fax
- 4807865202
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in CHANDLER, AZ
| Name | Credential | NPI |
|---|---|---|
| JAMES JARVISE | P.A.-C. | 1316940356 |
| THERESA E LINDSTROM | PA | 1124022165 |
| MS. TINA M HORTON | PA-C | 1467456418 |
| MOLLY M CERNIGLIA | PA | 1679578991 |
| MRS. KIMBERLY ANNE QUIRING | PA | 1689675522 |
| MS. LAURA MAY HUBBARD | PA-C, RD,LD | 1629037015 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.