Individual
AUSTIN SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
205 MAIN ST, AUMSVILLE, OR 97325-9018
(503) 749-4734
Mailing address
6 EGRET CV, CAMDEN, SC 29020-8422
(215) 740-2779
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
12/19/2024
Last updated
12/19/2024
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