Individual provider · Type 1 NPI
Gary Y. Shaw, MD
Otolaryngology/Facial Plastic Surgery Physician · Canton, IL
NPI number
1912940958
Active
Practice location
180 S Main St
Canton, IL 61520-2608
Fax (309) 649-6880
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Otolaryngology/Facial Plastic Surgery Physician Primary | 207YX0905X | 109774 (MO) |
Otolaryngology/Facial Plastic Surgery Physician: An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.
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About NPI 1912940958
Gary Y. Shaw, MD's National Provider Identifier is 1912940958, issued on Jun 14, 2006. The primary taxonomy on file is Otolaryngology/Facial Plastic Surgery Physician (207YX0905X), and the practice location is in Canton, IL. The record was last updated on Apr 13, 2021.