Individual
JENNIFER LEIGH SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
37100 N GANTZEL RD STE 106, SAN TAN VALLEY, AZ 85140-7350
(480) 821-3600
(480) 857-2667
Mailing address
PO BOX 6730, CHANDLER, AZ 85246-6730
(480) 821-3600
(480) 821-3610
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
42127
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
435318
—
AZ
Enumeration date
02/09/2009
Last updated
11/14/2023
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