Individual
ERIC SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1430 TULANE AVE, SL-42, NEW ORLEANS, LA 70112-2632
(504) 988-2750
Mailing address
5216 DANNEEL ST, NEW ORLEANS, LA 70115-4910
(231) 838-6046
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/17/2014
Last updated
04/17/2014
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