BLAKE ROBERT SHAW

SAN DIEGO, CA
NPI1649206541
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207W00000X Ophthalmology
(Licence: CA  G61394)
Enumeration Date2006-06-23
Last Update Date2018-03-17
Business Address
Dr. BLAKE ROBERT SHAW MD
1809 NATIONAL AVE
SAN DIEGO, CA 92113-2113
Phone number: 619-515-2300
Mailing Address
Dr. BLAKE ROBERT SHAW MD
4793 VALDINA WAY
SAN DIEGO, CA 92124-2437
Phone number: 858-576-1956
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