Individual
DR. BRANDON J SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
322 W BERRIDGE LN, PHOENIX, AZ 85013-1547
(602) 300-9699
Mailing address
322 W BERRIDGE LN, PHOENIX, AZ 85013-1547
(602) 300-9699
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
23217
CA
207L00000X
Anesthesiology Physician
4067
AZ
207L00000X
Anesthesiology Physician
L4710
TX
207L00000X
Anesthesiology Physician
Primary
O2026
ID
207LP2900X
Pain Medicine (Anesthesiology) Physician
4067
AZ
Other
Enumeration date
07/06/2006
Last updated
03/06/2025
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