Individual
AMY SCOTT SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
6108 SHANNON AVE, CHEYENNE, WY 82009-3537
(619) 962-5026
(307) 263-7546
Mailing address
6108 SHANNON AVE, CHEYENNE, WY 82009-3537
(619) 962-5026
(307) 263-7546
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PT615
WY
363AM0700X
Medical Physician Assistant
Primary
PA615
WY
Other
Enumeration date
10/03/2014
Last updated
10/25/2024
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