Individual
RYAN C SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
850 KEMPSVILLE RD STE 212, NORFOLK, VA 23502-3920
(757) 261-5977
Mailing address
850 KEMPSVILLE RD STE 212, NORFOLK, VA 23502-3920
(757) 261-5977
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110002808
VA
Other
Enumeration date
04/04/2008
Last updated
11/30/2023
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