Individual
DR. MICHAEL B SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4230 W 83RD ST, TULSA, OK 74132-3020
(918) 446-2181
Mailing address
4230 W 83RD ST, TULSA, OK 74132-3020
(918) 446-2181
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
1907
OK
Other
Enumeration date
01/23/2006
Last updated
01/04/2012
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