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NPI Code Detail

MEDICARE: SHANE ALLEN DURAN DPT

MEDICARE:   SHANE ALLEN DURAN  DPT
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
1225100000XPhysical Therapist34782AZ

General Provider Information

NPI Number : 1477485878
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHANE ALLEN DURAN DPT
Provider Business Mailing Address
First Line : 14287 N 87TH ST STE 220
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85260-3698
Country : US
Telephone Number : 480-937-1000
Fax Number :
Provider Business Practice Location Address
First Line : 15800 N LITCHFIELD RD STE 130
Second Line :
City : SURPRISE
State : AZ
Zip : 85374-5516
Country : US
Telephone Number : 623-400-9000
Fax Number : 623-400-9001
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2026
Last Update Date : 06/01/2026

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Directions to “ SHANE ALLEN DURAN DPT” Practice Location

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