Organization
TRAVIS SHAW MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRAVIS LARON SHAW M.D. (OWNER)
(804) 775-4559
Entity
Organization
Contact information
Practice address
8730 STONY POINT PARKWAY, STE 120, RICHMOND, VA 23235
(804) 775-4559
(804) 212-2476
Mailing address
8730 STONY POINT PKWY, STE 120, RICHMOND, VA 23235-1970
(804) 775-4559
(804) 212-2476
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
0101245920
VA
Other
Enumeration date
12/22/2014
Last updated
12/22/2014
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