NPI 1669624896

Gary Y Shaw MD PC

Organisation Otolaryngology Physician Lees Summit, MO

Practice location

Address: 296 NE Tudor Rd, Lees Summit, MO 64086-5696
Phone: (816) 524-4890
Fax: (816) 524-4888

Authorised official

Name: Gary Y Shaw
Title: President
Phone: (816) 524-4890

Registered specialties

Otolaryngology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Y00000X Licence 109774 (MO)

Other Otolaryngology providers in Missouri →

Registry record

NPI: 1669624896
Entity type: Organization
NPI issued: 21 Oct 2008
Record last updated: 21 Oct 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.