person
Stacy Shane Shaw
Surgical Physician Assistant in Pittsfield, Massachusetts
NPI 1770185225

Stacy Shane Shaw is a Surgical Physician Assistant based in Portland, MA and is specialized in Surgical. Stacy Shane Shaw practices in Pittsfield, MA. The NPI Number for Stacy Shane Shaw is 1770185225 and holds a License No. (Massachusetts).

The current practice location address for Stacy Shane Shaw is 725 North St, Pittsfield, MA and can be reached out via phone at 413-447-2000. You can also correspond with Stacy Shane Shaw through the mailing address at 3814 SE 98TH AVE, PORTLAND, OR - 97266-2502 (mailing address contact number: 503-313-9634).

Location: 725 North St, Pittsfield, MA, 97266-2502
person
Provider Profile Details
NPI Number
1770185225
Provider Name
Stacy Shane Shaw
Credential
Provider Entity Type
Individual
Gender
Male
Address
725 North St, Pittsfield, MA, 97266-2502
Phone Number
413-447-2000
Fax Number
Provider Enumeration Date
11/10/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
725 North St
City
State
Zip
01201-4109
Phone Number
413-447-2000
Fax Number
person
Provider Business Mailing Address Details
Address
725 North St
City
State
Zip
01201-4109
Phone Number
413-447-2000
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
()
Definition
Definition to come...
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