Cody Eugene Shaw
Cody Eugene Shaw is an Independent Duty Corpsman in Groton, Connecticut. Registered with an NPI since 2019.
- In the registry since
- 2019
Practice location Partly verified
Numi Trout Ave Bldg 83Groton, CT 06340
Phone: (860) 694-2876
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Independent Duty Corpsman (primary) | Taxonomy 1710I1002X |
|---|
Record details
| NPI number | 1063973790 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | March 26, 2019 |
| Last updated in NPPES | March 26, 2019 |
| Mailing address | 5 Wells St, Groton, CT 06340-3336 |
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