Individual
JENNIFER GALE SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6678 W THUNDERBIRD RD, GLENDALE, AZ 85306-3721
(602) 978-1500
(602) 978-0409
Mailing address
6678 W THUNDERBIRD RD, GLENDALE, AZ 85306-3721
(602) 978-1500
(602) 978-0409
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
61224
AZ
207V00000X
Obstetrics & Gynecology Physician
A88810
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
61224
MEDICAL LICENSE
AZ
01
—
A88810
LICENSE
CA
Enumeration date
06/14/2007
Last updated
10/11/2023
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