Dr. Spencer William Shaw (M.D.) is a health care provider specializes in Family Medicine.
Basic Information| Practice Location | 12851 Lala Cove Ln Se, Olalla, WA 98359-9664, US |
|---|---|
| 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). | |
Specialties & Licenses of Spencer William Shaw| Specialty | Provider Type | Specialization | License | License State |
|---|---|---|---|---|
| Family Medicine | Allopathic & Osteopathic Physicians | Addiction Medicine | MD00008162 | Washington |
Legacy Provider IDs of Spencer William Shaw| Provider Id | Issuer State | Issuer Type | Issuer |
|---|---|---|---|
| 1798107 | Washington | Medicaid | |
