Tyler Jay Shaw, PA

NPI #1548612153 in Pasco, Washington

Provider Information

NPI Number
1548612153
Entity Type
Individual
Name
Tyler Jay Shaw, PA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
PA
Enumeration Date
Jul 7, 2016
Last Updated
Oct 2, 2020

Practice Location

Address
5304 ROAD 68
City
Pasco
ZIP Code
99301-8078
Phone
(509) 543-9300

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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