Dr. Spencer William Shaw (M.D.) is a health care provider specializes in Family Medicine.
Practice Location | 12851 Lala Cove Ln Se, Olalla, WA 98359-9664, US |
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Practice Location Phone | 253-851-6201 |
Practice Location Fax | 253-857-3993 |
Gender | Male |
Specialty In | Family Medicine |
NPI ? | 1396808341 |
Entity Type | Individual |
Enumeration Date ? | Dec 19, 2006 |
Last Update Date ? | Jul 8, 2007 |
Note: NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS). | |
Specialty | Provider Type | Specialization | License | License State |
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Family Medicine | Allopathic & Osteopathic Physicians | Addiction Medicine | MD00008162 | Washington |
Provider Id | Issuer State | Issuer Type | Issuer |
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1798107 | Washington | Medicaid | |