Organization
JOHN R SHAW MD MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN ROBERT SHAW M.D. (PRESIDENT)
(951) 781-3800
Entity
Organization
Contact information
Practice address
3719 ARLINGTON AVE, SUITE 1, RIVERSIDE, CA 92506-2652
(951) 781-3800
(951) 781-1973
Mailing address
3719 ARLINGTON AVE, SUITE 1, RIVERSIDE, CA 92506-2652
(951) 781-3800
(951) 781-1973
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
G15265
CA
Other
Enumeration date
11/06/2008
Last updated
11/06/2008
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