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Individual

DR. JAMES S SHAW

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
101 W 8TH AVE, SPOKANE, WA 99204-2307
(509) 474-3008
Mailing address
910 N WASHINGTON ST, STE 209, SPOKANE, WA 99201-2202
(509) 232-1145
(509) 232-1165

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00016155
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4591837
WA
01
AB32999
MEDICARE GROUP
WA
Enumeration date
10/03/2006
Last updated
12/03/2007
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