Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARY JO SHAW, MD
ActivePediatrics · COEUR D ALENE, ID
Registration Details
- NPI Number
- 1316957202
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 9, 2006 (19.717391337578 yrs)
- Last Updated
- Dec 18, 2013
- License
-
M5325 (ID)
Practice Information
- Address
-
700 W IRONWOOD DRSUITE 155COEUR D ALENE, ID, 838142656Browse ID providers · Browse ZIP 83814
- Phone
- 2086670585
- Fax
- 2086670876
- Primary Specialty
-
Pediatrics
208000000X
Other Pediatrics Providers in COEUR D ALENE, ID
| Name | Credential | NPI |
|---|---|---|
| MRS. JEAN MARIE PRINCE | MD | 1477552008 |
| DR. RONDA WESTCOTT | M.D. | 1730188210 |
| BRIAN J. HICKOK | MD | 1700821584 |
| TERENCE EARL NEFF | MD | 1073523460 |
| DR. THOMAS R RAU | MD | 1013927979 |
| DR. DUANE ELDON CRADDOCK | MD | 1609886514 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.