MARK R SHAW

STATE COLLEGE, PA
NPI1689608127
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: PA  OS004761L)
Enumeration Date2006-07-10
Last Update Date2018-06-14
Business Address
MARK R SHAW D.O.
120 RADNOR RD STE 100
STATE COLLEGE, PA 16801
Phone number: 814-231-7868
Mailing Address
MARK R SHAW D.O.
120 RADNOR RD STE 100
STATE COLLEGE, PA 16801-7970
Phone number: 814-231-7868