MEDICARE: MS. RAYLENE SHORT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist

General Provider Information

NPI Number	:	1215916374
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. RAYLENE SHORT

Provider Business Mailing Address
First Line	:	11648 N 151ST LN
Second Line	:
City	:	SURPRISE
State	:	AZ
Zip	:	85379-5316
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	11648 N 151ST LN
Second Line	:
City	:	SURPRISE
State	:	AZ
Zip	:	85379-5316
Country	:	US
Telephone Number	:	602-622-6584
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/16/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1336001502 — ACES 2020, LLC
Practice Location Address:

13700 N DYSART RD STE 180
SURPRISE, AZ
85379-3319

Practice Phone: 855-223-7123
Practice Fax: 619-374-7134

1477414860 — THRIVE HEALTH HOLDINGS, INC.
Practice Location Address:

15411 W WADDELL RD STE 102-1061
SURPRISE, AZ
85379-5170

Practice Phone: 406-560-7083
Practice Fax:

1750244257 — PHILLIP FRIEDRICH
Practice Location Address:

13794 W WADDELL RD STE 204&205
SURPRISE, AZ
85379-8499

Practice Phone: 623-224-2161
Practice Fax: 623-224-2162

1417936014 — DR. STEVEN R HOLT OD
Practice Location Address:

15341 W WADDELL RD # 106
SURPRISE, AZ
85379

Practice Phone: 623-932-2020
Practice Fax: 623-932-2668

1255378279 — DR. PATRICIA R BOGAARD O.D.
Practice Location Address:

15341 W WADDELL RD STE 106
SURPRISE, AZ
85379-5169

Practice Phone: 623-544-7800
Practice Fax:

1548200645 — MS. MICHELLE B GARZA PT, DPT
Practice Location Address:

14545 W. GRAND AVE , SUITE 108
SURPRISE, AZ
85379-7279

Practice Phone: 623-544-0300
Practice Fax: 623-544-0239

Directions to “ MS. RAYLENE SHORT ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.