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Search › California › 103TF0200X

Mark Shaw, PH.D

NPI 1154556918 · on the registry since 2009 · sole proprietor

Practice

Address
1600 California Dr
Vacaville, CA 95687
Phone
(707) 449-6504
Fax
(707) 453-7047
Organisation at this address
State Of California
California Medical Facility
California Medical Facility
Corrections And Rehabilitation-Headquarters
Corrections And Rehabilitation-Headquarters
Inferred from a shared address, not stated in the registry.
Clinicians at this address
149

Registry record

Primary taxonomy
103TF0200X
103TF0200X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2009-05-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California