GARY THOMAS SHAW

SANTA ROSA, CA
NPI1568542306
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085R0204X Radiology, Vascular & Interventional Radiology
(Licence: CA  G54948)
Additional Taxonomies2085B0100X Radiology, Body Imaging
(Licence: CA  G54948)
2085N0904X Radiology, Nuclear Radiology
(Licence: CA  G54948)
2085R0202X Radiology, Diagnostic Radiology
(Licence: CA  G54948)
2085U0001X Radiology, Diagnostic Ultrasound
(Licence: CA  G54948)
Enumeration Date2006-10-16
Last Update Date2014-06-10
Business Address
-- GARY THOMAS SHAW M.D.
121 SOTOYOME ST
SANTA ROSA, CA 95405-4823
Phone number: 707-546-4062
Mailing Address
-- GARY THOMAS SHAW M.D.
PO BOX 5651
ORANGE, CA 92863-5651
Phone number: 714-571-5000