David P Shaw | |
470 Front St N Issaquah WA 98027-2914 | |
(425) 392-0654 | |
Not Available |
Full Name | David P Shaw |
---|---|
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 470 Front St N, Issaquah, Washington |
Authorized Official Name and Position | David Shaw (OWNER) |
Authorized Official Contact | 4253920654 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
David P Shaw Po Box 5202 Kent WA 98064-5202 Ph: (253) 520-0158 | David P Shaw 470 Front St N Issaquah WA 98027-2914 Ph: (425) 392-0654 |
NPI Number | 1114164928 |
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Provider Enumeration Date | 01/15/2009 |
Last Update Date | 02/13/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1114164928 | NPI | - | NPPES |
1086719 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | MD00031334 (Washington) | Primary |
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