MEDICARE: SHANE SPEIRS MD PC

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	208100000X	Physical Medicine & Rehabilitation Physician

General Provider Information

NPI Number	:	1831047471
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHANE SPEIRS MD PC

Provider Business Mailing Address
First Line	:	501 N 44TH ST STE 450
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85008-6526
Country	:	US
Telephone Number	:	602-491-0703
Fax Number	:	480-631-0581

Provider Business Practice Location Address
First Line	:	1041 E YORBA LINDA BLVD STE 210
Second Line	:
City	:	PLACENTIA
State	:	CA
Zip	:	92870-3763
Country	:	US
Telephone Number	:	714-223-7000
Fax Number	:	714-223-7001

Authorized Official
Title or Position	:	PRESIDENT
Name	:	SHANE RYAN SPEIRS
Credential	:
Telephone Number	:	480-495-5485

Provider Enumeration Date	:	03/19/2026
Last Update Date	:	03/23/2026

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