DR. Collie Blevins Shaw, M.D.

NPI #1598763641 in Conway, Arkansas

Provider Information

NPI Number: 1598763641
Entity Type: Individual
Name: DR. Collie Blevins Shaw, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Otolaryngology
Credential: M.D.
Enumeration Date: Jul 12, 2005
Last Updated: Jul 10, 2007

Practice Location

Address: 2200 ADA AVE
Address 2: SUITE 202
City: Conway
State: Arkansas
ZIP Code: 72034-4985
Phone: (501) 327-3929

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Otolaryngology	207Y00000X	Primary

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