Organization · Type 2 NPI
Dr. Michael P. Shaw, A Professional Corporation, Inc.
Specialist · Modesto, CA
NPI number
1265672117
Active
Practice location
2020 Standiford Ave Ste B
Modesto, CA 95350-6530
Fax (209) 525-9366
Mailing address
222 Memory Ln
Turlock, CA 95382-7272
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 35996 (CA) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1265672117
Dr. Michael P. Shaw, A Professional Corporation, Inc.'s National Provider Identifier is 1265672117, issued on Mar 4, 2009. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Modesto, CA. The record was last updated on Mar 4, 2009.