# REBECCA D SHAW

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1629056122
- **Gender:** F
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 20305 | IA | Yes |

## Other

- **Enumeration date:** 01/04/2006
- **Last updated:** 05/22/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1189175 | — | IA |
| 01 | — | 160030872 | RR MEDICARE | IA |
| 01 | — | 160035124 | RR MEDICARE | IA |
| 05 | — | 1629056122 | — | IA |
| 05 | — | 2189175 | — | IA |