Individual
DR. ROBERT SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3555 S NATIONAL AVE, SPRINGFIELD, MO 65807-7310
(417) 875-3000
Mailing address
3555 S NATIONAL AVE, SPRINGFIELD, MO 65807-7310
(417) 875-3000
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
2011008550
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
206536401
—
MO
Enumeration date
08/14/2006
Last updated
12/27/2018
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