MICAH SHAW

ALBUQUERQUE, NM
NPI1154878858
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NM  PA2016-0072)
Enumeration Date2016-09-09
Last Update Date2024-10-23
Business Address
MICAH SHAW PA-C
2211 LOMAS BLVD NE
ALBUQUERQUE, NM 87106-2719
Phone number: 505-272-2111
Mailing Address
MICAH SHAW PA-C
800 BRADBURY DR SE STE 116
ALBUQUERQUE, NM 87106-4310
Phone number: 505-272-1476
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