NPI 1013658111

Collie Mason Shaw

Practitioner Student in an Organized Health Care Education/Training Program Searcy, AR

Practice location

Address: 3214 E Race Ave, Searcy, AR 72143-4810
Phone: (501) 380-2280
Fax: (501) 380-2282

Registered specialties

Student in an Organized Health Care Education/Training Program Primary

Student, Health Care Taxonomy 390200000X

Other Student in an Organized Health Care Education/Training Program providers in Arkansas →

Registry record

NPI: 1013658111
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Apr 2022
Record last updated: 5 Apr 2022

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.