Individual provider · Type 1 NPI
Phillip Andrew Shaw, DPM
Sports Medicine Podiatrist · Everett, WA
NPI number
1447593256
Active
Practice location
3802 Broadway Ste B
Everett, WA 98201-5032
Mailing address
12911 120th Ave NE Ste C50
Kirkland, WA 98034-3080
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Sports Medicine Podiatrist Primary | 213ES0000X | PO60640602 (WA) |
Sports Medicine Podiatrist: Definition to come...
2 other providers at this address
About NPI 1447593256
Phillip Andrew Shaw, DPM's National Provider Identifier is 1447593256, issued on Mar 29, 2013. The primary taxonomy on file is Sports Medicine Podiatrist (213ES0000X), and the practice location is in Everett, WA. The record was last updated on Oct 2, 2024.