SearchArizona163W00000X

Spencer Shaw

NPI 1295600567 · on the registry since 2025

Practice

Address
394.3 Us-160
Kayenta, AZ 86033
Phone
(928) 697-4100
Fax
(928) 697-4029
Clinicians at this address
6

Registry record

Primary taxonomy
163W00000X
163W00000X
Also registered as
163WE0003X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-10-07

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 Arizona