Justin Shaw is a student in an organized health care education training program in Saint Louis, MO. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Justin Shaw NPI is 1558055525. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
1500 PARK AVE
SAINT LOUIS, MO
ZIP 63104-024
Phone: (866) 626-2878
The enumeration date for this NPI number is 6/5/2023 and was last updated on 6/5/2023.