Stacy Shane Shaw
Stacy Shane Shaw is a Surgical Physician Assistant in Pittsfield, Massachusetts. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
725 N StPittsfield, MA 01201-4109
Phone: (413) 447-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Surgical Physician Assistant (primary) | Taxonomy 363AS0400X |
|---|
Record details
| NPI number | 1770185225 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | November 10, 2020 |
| Last updated in NPPES | November 10, 2020 |
| Certification date | November 10, 2020 |
| Mailing address | 3814 Se 98th Ave, Portland, OR 97266-2502 |
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Justin Smith, PA
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Mr. Samuel W Smith Jr., PA-C
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