Individual
SUSANNA JANES SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 W ARBOR DR, SAN DIEGO, CA 92103-9000
(800) 926-8273
(888) 539-8781
Mailing address
PO BOX 232410, SAN DIEGO, CA 92193-2410
Taxonomy
Speciality
Code
Description
License number
State
207LP3000X
Pediatric Anesthesiology Physician
Primary
A158142
CA
Other
Enumeration date
04/07/2008
Last updated
02/19/2020
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