Cody Eugene Shaw
NPI #1063973790 in Groton, Connecticut
Provider Information
- NPI Number
- 1063973790
- Entity Type
- Individual
- Name
- Cody Eugene Shaw
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Military Health Care Provider - Independent Duty Corpsman
- Enumeration Date
- Mar 26, 2019
- Last Updated
- Mar 26, 2019
Practice Location
- Address
- NUMI
- Address 2
- TROUT AVE BUILDING 83
- City
- Groton
- State
- Connecticut
- ZIP Code
- 06340
- Phone
- (860) 694-2876
Specialties & Taxonomy Codes
| Specialty |
|---|
| Military Health Care Provider - Independent Duty Corpsman — Independent Duty Corpsman |
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