Individual
CHRISTIAN SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D
Contact information
Practice address
3014 E CAMELBACK RD STE 741, PHOENIX, AZ 85016-4404
(480) 455-0462
Mailing address
3014 E CAMELBACK RD STE 741, PHOENIX, AZ 85016-4404
(480) 455-0462
Taxonomy
Speciality
Code
Description
License number
State
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
MD20130858
NM
2083X0100X
Occupational Medicine Physician
Primary
49232
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12653055
—
NM
Enumeration date
07/31/2011
Last updated
06/12/2023
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