Individual
DR. DANIEL WOODSON SHAW
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 WEST ARBOR DR, UCSD MEDICAL CENTER - DERMATOLOGY - MC 8420, SAN DIEGO, CA 92103-8420
(619) 543-3626
(619) 741-6655
Mailing address
200 WEST ARBOR DR, UCSD MEDICAL CENTER - DERMATOLOGY - MC 8420, SAN DIEGO, CA 92103-8420
(619) 543-3626
(619) 741-6655
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
G59947
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G599470
—
CA
Enumeration date
05/17/2006
Last updated
07/08/2007
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