TABITHA MARIE SHAW

LANDER, WY
NPI1366519563
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: WY  6232A)
Enumeration Date2006-11-30
Last Update Date2015-02-24
Business Address
Dr. TABITHA MARIE SHAW MD
8195 HIGHWAY 789
LANDER, WY 82520-2942
Phone number: 307-332-0206
Mailing Address
Dr. TABITHA MARIE SHAW MD
100 N FORK RD
LANDER, WY 82520-9700
Phone number: 307-332-0206
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