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Individual

RICHARD JOHN SHAW

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
725 WELCH RD, PALO ALTO, CA 94304-1601
(650) 497-8000
Mailing address
725 WELCH RD, PALO ALTO, CA 94304-1601
(650) 497-8000

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
A46153
CA
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
A46153
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A461530
CA
Enumeration date
02/15/2007
Last updated
04/30/2024
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