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Individual

DR. ROBERT D SHAW JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
816 E MAIN ST, WILLOW SPRINGS, MO 65793-1518
(417) 269-2490
(417) 269-2492
Mailing address
PO BOX 802843, KANSAS CITY, MO 64180-2843
(417) 730-6430
(417) 269-7567

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R7A02
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201741006
MO
Enumeration date
09/27/2006
Last updated
08/02/2023
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