Individual
DR. HARRISON JOSEPH SHAWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4590 NASH WAY # 90-29928, SAINT LOUIS, MO 63110-1020
(314) 747-3000
Mailing address
11270 HIDDEN PEAK AVE UNIT 204, LAS VEGAS, NV 89135-3603
(775) 686-0909
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
2024019911
MO
Other
Enumeration date
04/05/2022
Last updated
08/22/2024
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