TRENT SHAW, PA-C
Physician Assistant - Medical
Active
Individual
NPI: 1366488926
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant - Medical | 363AM0700X | Yes | PA-308 (ID) |
| Physician Assistant | 363A00000X | No | PA-308 (ID) |
Frequently Asked Questions
NPI 1366488926 is the National Provider Identifier for TRENT SHAW, PA-C, a Physician Assistant - Medical provider located in Rexburg, ID. This NPI was enumerated on June 21, 2006.
TRENT SHAW, PA-C practices at 72 E MAIN ST, Rexburg, ID 83440.
Quick Facts
- NPI
- 1366488926
- Type
- Individual
- Enumerated
- Jun 21, 2006
- Last Updated
- Sep 30, 2011
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