SearchLouisiana207Q00000X

Mark Shaw, M.D

NPI 1881644938 · on the registry since 2006 · sole proprietor

Practice

Address
402 Second St.
Bernice, LA 71222
Phone
(318) 285-9066
Fax
(318) 285-9065
Organisation at this address
Bernice Medical Associates,Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
207Q00000X
207Q00000X
Also registered as
207P00000X
Licence states on file
LA, TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2015-10-07

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 Louisiana