Individual
MR. RICHARD ANTHONY SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CAMFT
Contact information
Practice address
214 SW 30TH ST, OKLAHOMA CITY, OK 73109-6506
(405) 272-1610
Mailing address
330 W GRAY ST, SUITE 406, NORMAN, OK 73069-7129
(405) 306-8597
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
2N96-341-0804
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
45-1779723
FEIN
OK
Enumeration date
08/25/2011
Last updated
08/25/2011
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