Trent E Shaw PA-C

  • 1366488926 NPI Number
  • |
  • Actived: 13 years ago
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According to our database, NPI number for Trent E Shaw PA-C is 1366488926 and actived since Wednesday, June 21 2006. Trent E Shaw PA-C is an individual provider specializes in Medical, primary practice location is 72 E Main St, Rexburg, ID 83440. You can also contact Trent E Shaw PA-C via telephone number is (208) 359-1770. Provider NPI information was last updated on 09/30/2011.

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Overview of Trent E Shaw PA-C

  • NPI number: 1003475005
  • Provider type: Individual
  • Specialty: Medical
  • Gender: Male
  • Active since: 06/21/2006
  • Last updated: 09/30/2011

Primary Scrop of Practice

  • Taxonomy Code: 363AM0700X
  • Specialty: Medical
  • License Number: PA-308
  • License State: ID

Provider Mailing Address

  • Address: 72 E Main St
    Rexburg, ID 83440
  • Phone: 208-359-1770
  • Fax: 208-359-1780

Provider Practice Location

  • Address: 72 E Main St
    Rexburg, ID 83440
  • Phone: 208-359-1770
  • Fax: 208-359-1780

Scope of Practice

  • Taxonomy Code: 363A00000X
  • Specialty: Physician Assistant
  • License Number: PA-308
  • License State: ID
  • Switch: No

Legacy Identifiers

  • Provider Identifier: 806887500
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: ID
  • Issuer:

Question & Answers

What is the npi number?

  • Q: What is the npi number for Trent E Shaw PA-C?
  • A: The npi number for Trent E Shaw PA-C is 1366488926.
  • Q: What are Trent E Shaw PA-C's specialties?
  • A: Trent E Shaw PA-C's specialties are Medical and different specialities.
  • Q: What is the medical license for Trent E Shaw PA-C?
  • A: The medical license number for Trent E Shaw PA-C is PA-308 and issued in ID in USA.
  • Q: Where is Trent E Shaw PA-C practice location?
  • A: Trent E Shaw PA-C is practicing at 72 E Main St, Rexburg, ID 83440.
  • Q: How to contact Trent E Shaw PA-C?
  • A: You can contact Trent E Shaw PA-C via 208-359-1770.