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Individual
CHRISTOPHER JOEL SHAW
Active
Individual
CHRISTOPHER JOEL SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA60124508
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0260915
L AND I
WA
05
—
1407179690
—
WA
01
—
P00946049
RAILROAD MEDICARE
WA
Enumeration date
03/02/2010
Last updated
02/09/2015
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