Individual provider · Type 1 NPI
Tracie Shaw, DPM
Foot & Ankle Surgery Podiatrist · Chino, CA
NPI number
1659948321
Active
Practice location
5365 Walnut Ave Ste P
Chino, CA 91710-2622
Mailing address
1039 S Indian Summer Ave
West Covina, CA 91790-5216
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | E5975 (CA) |
Foot & Ankle Surgery Podiatrist: Definition to come...
Another provider at this address
Other foot & ankle surgery podiatrist providers in Chino
About NPI 1659948321
Tracie Shaw, DPM's National Provider Identifier is 1659948321, issued on Jun 9, 2021. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Chino, CA. The record was last updated on Aug 13, 2024.