Jesse Daniel Shaw, D.O
NPI #1912293572 in Pullman, Washington
Provider Information
- NPI Number
- 1912293572
- Entity Type
- Individual
- Name
- Jesse Daniel Shaw, D.O
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Family Medicine - Sports Medicine
- Credential
- D.O
- Enumeration Date
- Jun 22, 2011
- Last Updated
- Sep 29, 2025
Practice Location
- Address
- 825 SE BISHOP BLVD STE 120
- City
- Pullman
- State
- Washington
- ZIP Code
- 99163-5517
- Phone
- (509) 332-2828
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine - Sports Medicine — Sports Medicine |
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