MICHAEL SHAW DO
Individual Provider (NPI-1)
Active
Internal Medicine
Provider Information
- NPI Number
1295010148- Provider Type
- Individual Provider (NPI-1)
- Credentials
- DO
- Status
- Active
Contact & Location
- Address
- 801 POLE LINE RD W, TWIN FALLS, ID, 833015810
- Phone
- (208) 814-4100
- Fax
- (208) 814-4908
Specialties & Taxonomies
Internal Medicine
Primary License: ID #8671031
Internal Medicine
License: IA #DO-06846
Hospitalist
License: IA #DO-06846
All Addresses
MAILING
190 E BANNOCK ST
BOISE, ID, 837126241