TIMOTHY L SHAW

EAGLE RIVER, AK
NPI1124092002
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: AK  26580)
Enumeration Date2006-02-15
Last Update Date2010-05-25
Business Address
-- TIMOTHY L SHAW CRNA
11055 OWHAT CIR
EAGLE RIVER, AK 99577-8226
Phone number: 907-227-9592
Mailing Address
-- TIMOTHY L SHAW CRNA
11055 OWHAT CIR
EAGLE RIVER, AK 99577-8226
Phone number: 907-227-9592
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