Individual
CHRISTOPHER THOMAS SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
200 S MAIN ST, DU BOIS, PA 15801-1578
(814) 375-0125
Mailing address
200 S MAIN ST, DU BOIS, PA 15801-1578
(602) 206-5857
(814) 375-0125
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG002824
PA
Other
Enumeration date
07/10/2013
Last updated
12/18/2018
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