Colleen Shaw, PA

NPI #1538290614 in Johnstown, New York

Provider Information

NPI Number
1538290614
Entity Type
Individual
Name
Colleen Shaw, PA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant - Medical
Credential
PA
Enumeration Date
Mar 8, 2007
Last Updated
Feb 20, 2012

Practice Location

Address
400 N PERRY ST
ZIP Code
12095-1115
Phone
(518) 736-1911

Specialties & Taxonomy Codes

Specialty
Physician Assistant - MedicalMedical

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