NPI 1316957202

Mary Jo Shaw, MD

Practitioner Pediatrics Physician Coeur D Alene, ID

Practice location

Address: 700 W Ironwood Dr Suite 155, Coeur D Alene, ID 83814-2656
Phone: (208) 667-0585
Fax: (208) 667-0876

Registered specialties

Pediatrics Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence M5325 (ID)

Other Pediatrics providers in Idaho →

Registry record

NPI: 1316957202
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Aug 2006
Record last updated: 18 Dec 2013

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.