Individual provider · Type 1 NPI

John D. Shaw, PA-C

Surgical Physician Assistant · Englewood, CO

NPI number 1508047838 Active

Practice location

799 E Hampden Ave, Suite 400
Englewood, CO 80113-2700

Fax (303) 788-4871

Mailing address

4900 S Monaco St, Suite 210
Denver, CO 80237-3486

Other practice locations

  • 12605 E 16th Ave, Aurora, CO 80045-2545 · (720) 848-0000

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant 363AS0400X23 013684 (NY)
Surgical Physician Assistant Primary 363AS0400XPA.0001905 (CO)

Surgical Physician Assistant: Definition to come...

45 other providers at this address

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About NPI 1508047838

John D. Shaw, PA-C's National Provider Identifier is 1508047838, issued on Nov 15, 2007. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Englewood, CO. The record was last updated on Jul 31, 2019.