Individual
ZACHARY SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AU.D.
Contact information
Practice address
201 S MOUNT AUBURN RD # D, CAPE GIRARDEAU, MO 63703-4912
(573) 229-0799
Mailing address
201 S MOUNT AUBURN RD # D, CAPE GIRARDEAU, MO 63703-4912
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
2021044739
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2021044739
—
MO
Enumeration date
11/09/2021
Last updated
11/09/2021
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