Individual
JUSTIN WILLIAM SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCN
Contact information
Practice address
130 CALO LN, LAKE OZARK, MO 65049-9208
(573) 746-2718
Mailing address
5500 MING AVE STE 410, BAKERSFIELD, CA 93309-4631
Taxonomy
Speciality
Code
Description
License number
State
2472E0500X
EEG Technician
Primary
—
—
Other
Enumeration date
04/16/2025
Last updated
04/16/2025
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