Individual
JOHN D SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
799 E HAMPDEN AVE, SUITE 400, ENGLEWOOD, CO 80113-2700
(303) 789-2663
(303) 788-4871
Mailing address
4900 S MONACO ST, SUITE 210, DENVER, CO 80237-3486
(303) 789-2663
(303) 788-4871
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
23 013684
NY
363AS0400X
Surgical Physician Assistant
Primary
PA.0001905
CO
Other
Enumeration date
11/15/2007
Last updated
07/31/2019
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