WILLIAM BRADY SHAW

JEFFERSON CITY, MO
NPI1417344011
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208100000X Physical Medicine & Rehabilitation
(Licence: MO  2019016550)
Enumeration Date2015-04-21
Last Update Date2022-09-12
Business Address
WILLIAM BRADY SHAW D.O.
1125 MADISON ST
JEFFERSON CITY, MO 65101-5227
Phone number: 573-632-5660
Mailing Address
WILLIAM BRADY SHAW D.O.
1125 MADISON ST
JEFFERSON CITY, MO 65101-5227
Phone number: 573-632-5660
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