Individual
DAVID L SHAW
Active
Individual
DAVID L SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
108388
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000010051
ESSENCE
MO
01
—
0406305
UHC
MO
01
—
116062
BCBS
MO
01
—
138767
GHP
MO
05
—
209781301
—
MO
01
—
407737
HEALTLINK
MO
01
—
7486026
AETNA
MO
01
—
G73848
MERCY
MO
Enumeration date
11/16/2005
Last updated
09/28/2012
Update your record
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