Individual
ROBERT P SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
6001 E BROAD ST, COLUMBUS, OH 43213-1502
(614) 552-0061
(614) 552-0168
Mailing address
12941 STONECREEK DR, UNIT A, PICKERINGTON, OH 43147-8424
(614) 552-0061
(614) 552-0168
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
NA-05358
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2235021
—
OH
Enumeration date
02/02/2006
Last updated
08/21/2023
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