Organization
DAVID P SHAW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID SHAW MD (OWNER)
(425) 392-0654
Entity
Organization
Contact information
Practice address
470 FRONT ST N, ISSAQUAH, WA 98027-2914
(425) 392-0654
Mailing address
PO BOX 5202, KENT, WA 98064-5202
(253) 520-0158
(253) 854-9860
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD00031334
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1086719
—
WA
Enumeration date
01/15/2009
Last updated
02/13/2009
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