DR. Tabitha Marie Shaw, MD

NPI #1366519563 in Lander, Wyoming

Provider Information

NPI Number: 1366519563
Entity Type: Individual
Name: DR. Tabitha Marie Shaw, MD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Nov 30, 2006
Last Updated: Feb 24, 2015

Practice Location

Address: 8195 HIGHWAY 789
City: Lander
State: Wyoming
ZIP Code: 82520-2942
Phone: (307) 332-0206

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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