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Individual

DAVID M SHAW

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1700 SPRING HILL AVE, SUITE 100, MOBILE, AL 36604-1407
(251) 435-1200
(251) 435-6357
Mailing address
1700 SPRING HILL AVE, SUITE 100, MOBILE, AL 36604-1407
(251) 435-1200
(251) 435-6357

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
18111
AL
207RI0011X
Interventional Cardiology Physician
18111
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000033295
AL
05
00114799
MS
Enumeration date
11/07/2005
Last updated
06/12/2012
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