Individual
DR. VAL KERN SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
114 MISSION RANCH BLVD, #50, CHICO, CA 95926
(530) 891-1900
(530) 895-1531
Mailing address
114 MISSION RANCH BLVD, #50, CHICO, CA 95926
(530) 891-1900
(530) 895-1531
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A24731
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
180033794
MEDICARE RAILROAD
CA
01
—
P00805366
RAILROAD MEDICARE
CA
Enumeration date
07/07/2006
Last updated
04/19/2010
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