Individual
DR. ROBERT LEWIS SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
163 VAN BUREN RD, SUITE #6, CARIBOU, ME 04736-3567
(207) 498-8785
(207) 492-1801
Mailing address
163 VAN BUREN RD, SUITE #6, CARIBOU, ME 04736-3567
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
011901
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011901
MEDICAL LICENSE
ME
Enumeration date
07/14/2006
Last updated
07/08/2007
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