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Individual

TIMOTHY L SHAW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
11055 OWHAT CIR, EAGLE RIVER, AK 99577-8226
(907) 227-9592
Mailing address
11055 OWHAT CIR, EAGLE RIVER, AK 99577-8226
(907) 227-9592

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
26580
AK

Other

Enumeration date
02/15/2006
Last updated
05/25/2010
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