Individual provider · Type 1 NPI

Charles Shaw, DO

Student in an Organized Health Care Education/Training Program · Sierra Vista, AZ

NPI number 1083454631 Active

Practice location

5700 E Highway 90
Sierra Vista, AZ 85635-9110

Call (480) 760-5705 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1083454631

Charles Shaw, DO's National Provider Identifier is 1083454631, issued on May 30, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Sierra Vista, AZ. The record was last updated on May 30, 2024.