Individual
IAN C. SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
260 BECKLEY HILL RD, BARRE, VT 05641-9080
(802) 476-1480
(802) 479-4095
Mailing address
PO BOX 647, MONTPELIER, VT 05601-0647
(802) 476-1480
(802) 479-4095
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
097.0135702
VT
Other
Enumeration date
11/03/2025
Last updated
11/03/2025
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