Individual
CRAIG SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
706 N BARNES AVE, HASTINGS, NE 68901-4219
(402) 469-4536
Mailing address
15665 W CIMARRON RD, ROSELAND, NE 68973-1814
(402) 756-5577
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
11/24/2021
Last updated
11/24/2021
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