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Individual
JOHN A. SHAW
Active
Individual
JOHN A. SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
14068
AZ
2085R0001X
Radiation Oncology Physician
Primary
MD60299819
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14068
STATE LICENSE
AZ
05
—
229543
—
AZ
Enumeration date
08/15/2005
Last updated
03/07/2023
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