GREGORY EDWARD SHAW

LOUISVILLE, KY
NPI1588081566
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy208000000X Pediatrics
(Licence: KY  50503)
Enumeration Date2014-03-27
Last Update Date2022-09-21
Business Address
GREGORY EDWARD SHAW
100 MALLARD CREEK RD STE 395
LOUISVILLE, KY 40207-5167
Phone number: 502-895-9421
Mailing Address
GREGORY EDWARD SHAW
PO BOX 776879
CHICAGO, IL 60677-6879
Phone number: 502-588-9490
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