I-tsyr Shaw MD

NPI 1104026558 - Internal Medicine - 207R00000X

NPI Details
NPI 1104026558
Gender Female
Enumeration Date 07/24/2007
Last Updated 04/15/2014
Entity Type Individual
Active Over 9 years ago
Practice Location
1272 W MAIN ST BLDG 2
STE 3
NEWARK OH, 43055-2004, US
Phone (740) 348-1740
Fax (740) 348-1741
Business Location
1272 W MAIN ST BLDG 2
STE 3
NEWARK OH, 43055-2004, US
Phone (740) 348-1740
Fax (740) 348-1741
Toxanomy
Taxonomy Code 207R00000X
License State Minnesota
License Number 50971
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According to our database, I-tsyr Shaw MD NPI is 1104026558, taxonomy code is 207R00000X and license number is 50971, license state is located at Minnesota. I-tsyr Shaw MD physically located at 1272 W Main St Bldg 2, Newark OH, 43055-2004. NPI Number I-tsyr Shaw MD has the Individual type.

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1104026558 NPI number is provided on an as is basis without warranty of any kind. 1104026558 is maintained by the National Plan & Provider Enumeration System. The contents of I-tsyr Shaw MD are for informational purposes only.