ANTHONY SHAW

WICHITA, KS
NPI1043878036
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: KS  94-09956)
Enumeration Date2019-06-04
Last Update Date2019-06-04
Business Address
ANTHONY SHAW
1010 N KANSAS ST
WICHITA, KS 67214-3124
Phone number: 316-293-2647
Mailing Address
ANTHONY SHAW
1010 N KANSAS ST
WICHITA, KS 67214-3124
Phone number: 316-293-2647
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