Individual
MARCI SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1044 BELMONT AVE, YOUNGSTOWN, OH 44504
(240) 686-2300
Mailing address
5395 N NICKELPLATE ST, LOUISVILLE, OH 44641-2446
(240) 686-2300
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1941
WV
Other
Enumeration date
10/07/2015
Last updated
09/27/2019
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