Individual
TERESA MARIE DOLPHIN-SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1801 HICKMAN RD, DES MOINES, IA 50314-1548
(515) 282-5695
Mailing address
1748 LAKESHORE DR, CAPE GIRARDEAU, MO 63701-1921
(605) 212-8512
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
DO05034
IA
Other
Enumeration date
04/12/2012
Last updated
05/06/2020
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