Individual
JOHN A. SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12410 E SINTO AVE STE B, SPOKANE VALLEY, WA 99216-2280
(509) 838-2531
Mailing address
PO BOX 3649, SPOKANE, WA 99220-3649
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
14068
AZ
2085R0001X
Radiation Oncology Physician
Primary
MD60299819
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14068
STATE LICENSE
AZ
05
—
229543
—
AZ
Enumeration date
08/15/2005
Last updated
03/07/2023
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