Individual
DR. ALLISON MICHELLE SHAW-DEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4301 W MARKHAM ST, LITTLE ROCK, AR 72205-7101
(501) 603-1545
(501) 686-6439
Mailing address
PO BOX 241578, LITTLE ROCK, AR 72223-0011
(501) 603-1545
(501) 686-6439
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
E1770
AR
207UN0901X
Nuclear Cardiology Physician
E1770
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
135778001
—
AR
01
—
5AJ37
MEDICARE ARK
AR
Enumeration date
11/02/2005
Last updated
12/17/2013
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