Individual
PHILLIP ANDREW SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
3802 BROADWAY STE B, EVERETT, WA 98201-5032
(425) 259-0855
Mailing address
12911 120TH AVE NE STE C50, KIRKLAND, WA 98034-3080
(425) 899-3234
(425) 899-3235
Taxonomy
Speciality
Code
Description
License number
State
213ES0000X
Sports Medicine Podiatrist
Primary
PO60640602
WA
Other
Enumeration date
03/29/2013
Last updated
10/02/2024
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