SHANE THEOBALD

CHANDLER, AZ
NPI1760415947
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy152W00000X Optometrist
(Licence: AZ  1521)
Enumeration Date2006-07-09
Last Update Date2014-03-04
Business Address
-- SHANE THEOBALD OD
1717 W. CHANDLER BLVD
CHANDLER, AZ 85224
Phone number: 480-821-7565
Mailing Address
-- SHANE THEOBALD OD
25500 N. NORTERRA PARKWAY, BLDG B
PHOENIX, AZ 85085
Phone number: 623-277-1000
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