Organization
GARY Y SHAW MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY Y SHAW M.D. (PRESIDENT)
(816) 524-4890
Entity
Organization
Contact information
Practice address
296 NE TUDOR RD, LEES SUMMIT, MO 64086-5696
(816) 524-4890
(816) 524-4888
Mailing address
296 NE TUDOR RD, LEES SUMMIT, MO 64086-5696
(816) 524-4890
(816) 524-4888
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
109774
MO
Other
Enumeration date
10/21/2008
Last updated
10/21/2008
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