NPI 1063244986

Aaron Brett Shaw

Practitioner Nursing Care Agency Flagstaff, AZ

Practice location

Address: 930 N Switzer Canyon Dr STE 101, Flagstaff, AZ 86001-4834
Phone: (928) 499-3100
Mailing address: 3835 E Viking Dr, Eden, UT 84310-6802

Registered specialties (2)

Nursing Care Agency Primary

Agencies Taxonomy 251J00000X Licence 5275148-3102 (UT)

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Geriatric Medicine (Family Medicine) Physician

Allopathic & Osteopathic Physicians Taxonomy 207QG0300X Licence 315677 (AZ)

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Registry record

NPI: 1063244986
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Aug 2024
Record last updated: 17 Oct 2024

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.