Individual
DR. ROBERT D SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1003 E INTERSTATE AVE, SUITE 5, BISMARCK, ND 58503-0500
(701) 221-2788
(701) 221-2789
Mailing address
1003 E INTERSTATE AVE, SUITE 5, BISMARCK, ND 58503-0500
(701) 221-2788
(701) 221-2789
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
732
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SHA23522
BLUECROSS BLUESHIELD
ND
Enumeration date
09/13/2006
Last updated
07/08/2007
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