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Individual
DOUGLAS B SHAW
Active
Individual
DOUGLAS B SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
10698
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000011194
BLUE CROSS
AL
05
—
000011194
—
AL
05
—
0009940033
—
AL
05
—
00112131
—
MS
01
—
010033CD08149
SECTION 1011
AL
01
—
051511216
BLUE CROSS
AL
01
—
051511217
BLUE CROSS
AL
01
—
051537904
BLUE CROSS
AL
01
—
50053254
RAILROAD MEDICARE
AL
01
—
902107800
FLORIDA MEDICAID
FL
01
—
D08149
VIVA
AL
Enumeration date
07/17/2006
Last updated
06/15/2011
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