DR. Charles Shaw, DO

NPI #1083454631 in Sierra Vista, Arizona

Provider Information

NPI Number: 1083454631
Entity Type: Individual
Name: DR. Charles Shaw, DO
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Credential: DO
Enumeration Date: May 30, 2024
Last Updated: May 30, 2024

Practice Location

Address: 5700 E HIGHWAY 90
City: Sierra Vista
State: Arizona
ZIP Code: 85635-9110
Phone: (480) 760-5705

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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