Justin William Shaw, BCN

NPI #1427844547 in Lake Ozark, Missouri

Provider Information

NPI Number
1427844547
Entity Type
Individual
Name
Justin William Shaw, BCN
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Technician, Other - EEG
Credential
BCN
Enumeration Date
Apr 16, 2025
Last Updated
Apr 16, 2025

Practice Location

Address
130 CALO LN
ZIP Code
65049-9208
Phone
(573) 746-2718

Specialties & Taxonomy Codes

Specialty
Technician, Other - EEGEEG

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