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Individual

TRESSIA M SHAW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1919 E THOMAS RD, PHOENIX, AZ 85016-7710
(602) 933-0249
(602) 933-0755
Mailing address
3200 E CAMELBACK RD STE 250, PHOENIX, AZ 85018-2327
(602) 933-1814

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
32734
AZ
2080H0002X
Pediatric Hospice and Palliative Medicine Physician
Primary
32734
AZ
208M00000X
Hospitalist Physician
32734
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
864456
AZ
Enumeration date
03/31/2006
Last updated
03/27/2018
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