Individual
REBECCA D SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6000 UNIVERSITY AVE, SUITE 203, WEST DES MOINES, IA 50266-8203
(515) 241-2200
(515) 241-2202
Mailing address
6000 UNIVERSITY AVE, SUITE 203, WEST DES MOINES, IA 50266-8203
(515) 241-2200
(515) 241-2202
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
20305
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1189175
—
IA
01
—
160030872
RR MEDICARE
IA
01
—
160035124
RR MEDICARE
IA
05
—
1629056122
—
IA
05
—
2189175
—
IA
Enumeration date
01/04/2006
Last updated
05/22/2012
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