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Tracie Shaw, DPM
Foot & Ankle Surgery Podiatrist in Chino, California
NPI 1659948321

Tracie Shaw is a Foot & Ankle Surgery Podiatrist based in San Gabriel, CA and is specialized in Foot & Ankle Surgery. Tracie Shaw practices in Chino, CA and has the professional credentials of DPM. The NPI Number for Tracie Shaw is 1659948321 and holds a License No. (California).

The current practice location address for Tracie Shaw is 5451 Walnut Ave, Chino, CA and can be reached out via phone at 909-706-3877 and via fax at 909-706-3942.

Location: 5451 Walnut Ave, Chino, CA, 91775-2605
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1659948321
Provider Name
Tracie Shaw
Credential
DPM
Provider Entity Type
Individual
Gender
Female
Address
5451 Walnut Ave, Chino, CA, 91775-2605
Phone Number
909-706-3877
Fax Number
909-706-3942
Provider Enumeration Date
06/09/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5451 Walnut Ave
City
Chino
State
California
Zip
91710-2609
Phone Number
909-706-3877
Fax Number
909-706-3942
person
Provider Business Mailing Address Details
Address
5451 Walnut Ave
City
Chino
State
California
Zip
91710-2609
Phone Number
909-706-3877
Fax Number
909-706-3942
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
213ES0103X
License No.
EL7024 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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