Individual
DANIEL LEONARD SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1200 N BEAVER ST, FLAGSTAFF, AZ 86001-3118
(928) 380-0476
(928) 214-3882
Mailing address
1050 NORTH SAN FRANCISCO STREET, SUITE D, FLAGSTAFF, AZ 86001
(928) 380-0476
(928) 774-3533
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
15943
AZ
Other
Enumeration date
01/26/2007
Last updated
07/08/2007
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