Individual
AVI SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8401 MARKET ST, BOARDMAN, OH 44512-6725
(443) 805-7713
Mailing address
7707 E 6TH ST, SCOTTSDALE, AZ 85251-5715
Taxonomy
Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
58.032292
OH
Other
Enumeration date
04/20/2021
Last updated
06/28/2021
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