Individual
JOHN CHRISTOPHER SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1230 7TH AVE, LONGVIEW, WA 98632-3166
(360) 636-2400
Mailing address
1230 7TH AVE, LONGVIEW, WA 98632-3166
(360) 636-2400
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
00043484
WA
208000000X
Pediatrics Physician
00043484
WA
Other
Enumeration date
08/25/2006
Last updated
02/04/2022
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