Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PHILLIP ANDREW SHAW, DPM
ActivePHILLIP ANDREW SHAW, DPM is a Sports Medicine Podiatrist healthcare provider located in EVERETT, Washington. NPI 1447593256 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine Podiatrist · EVERETT, WA
Registration Details
- NPI Number
- 1447593256
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 29, 2013 (13.354731513651 yrs)
- Last Updated
- Oct 2, 2024
- License
-
PO60640602 (WA)
Practice Information
- Address
-
3802 BROADWAY STE BEVERETT, WA, 982015032Browse WA providers · Browse ZIP 98201
- Phone
- 4252590855
- Primary Specialty
-
Sports Medicine Podiatrist
213ES0000X
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.