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Organization

STEPHEN R. SHAW, M.D., INC.

Active
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Organization

STEPHEN R. SHAW, M.D., INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. JOANNE FORLAW (OFFICE MANAGER)
(805) 642-0128
Entity
Organization

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
G50864
CA

Other

Enumeration date
06/17/2006
Last updated
09/11/2025
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