Individual
DR. JOEL LEWIS SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3705 OLENTANGY RIVER RD, STE 260, COLUMBUS, OH 43214-3467
(614) 586-1220
(614) 586-1237
Mailing address
5350 FRANTZ RD, DUBLIN, OH 43016-4259
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
35090113
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2823029
—
OH
Enumeration date
01/12/2006
Last updated
01/05/2022
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