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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JUSTIN WILLIAM SHAW, BCN

Active

2472E0500X · LAKE OZARK, MO

Registration Details

NPI Number
1427844547
Provider Type
Individual
Gender
Male
NPI Issued
Apr 16, 2025 (1.0166636651522 yrs)
Last Updated
Apr 16, 2025

Practice Information

Address
130 CALO LN
LAKE OZARK, MO, 650499208
Browse MO providers · Browse ZIP 65049
Phone
5737462718
Primary Specialty
2472E0500X
2472E0500X

Other 2472E0500X Providers in LAKE OZARK, MO

Name Credential NPI
ANDREW KEMPKER 1982490041
LORI ANN JONES 1609662568
DANIEL KAYS 1700672458
WHITNEY VERPLOEG 1316730393
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.