Organization
JENNIFER G. SHAW, MD, A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER G SHAW MD (PRESIDENT)
(619) 260-7231
Entity
Organization
Contact information
Practice address
4077 FIFTH AVE, SAN DIEGO, CA 92103
(619) 260-7231
(619) 260-7165
Mailing address
17101 SAINT ANDREWS DR, POWAY, CA 92064-1226
(619) 260-7231
(858) 312-8040
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
A88810
CA
Other
Enumeration date
04/27/2011
Last updated
05/30/2016
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