| John R Shaw Md Medical Corporation | |
|
3719 Arlington Ave Suite 1 Riverside CA 92506-2652 | |
| (951) 781-3800 | |
| (951) 781-1973 |
| Full Name | John R Shaw Md Medical Corporation |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 3719 Arlington Ave, Riverside, California |
| Authorized Official Name and Position | John Robert Shaw (PRESIDENT) |
| Authorized Official Contact | 9517813800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John R Shaw Md Medical Corporation 3719 Arlington Ave Suite 1 Riverside CA 92506-2652 Ph: (951) 781-3800 | John R Shaw Md Medical Corporation 3719 Arlington Ave Suite 1 Riverside CA 92506-2652 Ph: (951) 781-3800 |
| NPI Number | 1801040688 |
|---|---|
| Provider Enumeration Date | 11/06/2008 |
| Last Update Date | 11/06/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801040688 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | G15265 (California) | Primary |
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