Timothy L Shaw, CRNA
NPI #1124092002 in Eagle River, Alaska
Provider Information
- NPI Number
- 1124092002
- Entity Type
- Individual
- Name
- Timothy L Shaw, CRNA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Anesthetist, Certified Registered
- Credential
- CRNA
- Enumeration Date
- Feb 15, 2006
- Last Updated
- May 25, 2010
Practice Location
- Address
- 11055 OWHAT CIR
- City
- Eagle River
- State
- Alaska
- ZIP Code
- 99577-8226
- Phone
- (907) 227-9592
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Anesthetist, Certified Registered |
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