Individual
ANDREW DENNISON SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PRS
Contact information
Practice address
2960 W ENON RD, XENIA, OH 45385-8548
(937) 272-4925
Mailing address
1741 BROWNELL RD, DAYTON, OH 45403-3406
(937) 576-6501
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
APS.005744
OH
Other
Enumeration date
11/21/2024
Last updated
11/21/2024
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