Individual
DR. ROBERT RICHARD SHAWHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9040 JACKSON AVE, TACOMA, WA 98431-0001
(253) 968-4744
Mailing address
9040 FITZSIMMONS DR, JOINT BASE LEWIS MCCHORD, WA 98431-1000
(253) 968-0236
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
27042
NE
208600000X
Surgery Physician
Primary
MD61026165
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2020658
—
WA
Enumeration date
04/19/2011
Last updated
04/19/2021
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