Individual
DR. STEPHEN R. SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3418 LOMA VISTA RD, SUITE B, VENTURA, CA 93003-3016
(805) 642-0128
(805) 656-3421
Mailing address
3418 LOMA VISTA RD, SUITE B, VENTURA, CA 93003-3016
(805) 642-0128
(805) 656-3421
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
G47926
CA
208VP0014X
Interventional Pain Medicine Physician
Primary
G47926
CA
Other
Enumeration date
06/27/2006
Last updated
09/11/2025
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