Individual
TRAVIS LARON SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8730 STONY POINT PKWY, SUITE 120, RICHMOND, VA 23235-1970
(804) 775-4559
(804) 200-5649
Mailing address
8730 STONY POINT PKWY, SUITE 120, RICHMOND, VA 23235-1970
(804) 775-4559
(804) 200-5649
Taxonomy
Speciality
Code
Description
License number
State
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
0101245920
VA
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
Primary
0101245920
VA
Other
Enumeration date
05/31/2007
Last updated
01/29/2013
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