Dr. Michael P. Shaw, a Professional Corporation, Inc.

NPI #1265672117 in Modesto, California

Provider Information

NPI Number: 1265672117
Entity Type: Organization
Organization Name: Dr. Michael P. Shaw, a Professional Corporation, Inc.
Primary Specialty: Specialist
Enumeration Date: Mar 4, 2009
Last Updated: Mar 4, 2009

Practice Location

Address: 2020 STANDIFORD AVE STE B
City: Modesto
State: California
ZIP Code: 95350-6530
Phone: (209) 522-9339

Authorized Official

Name: ELIZABETH S. SHAW
Title: PRACTICE ADMINISTRATOR
Phone: (209) 667-9339

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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