Collie Blevins Shaw in Conway - Otolaryngology
Collie Blevins Shaw - NPI 1598763641
Collie Blevins Shaw is a Otolaryngology in Conway, Arkansas. Collie Blevins Shaw practices all healthcare services and medical treatments related to Otolaryngology. The NPI Number for Collie Blevins Shaw is 1598763641. The last update date is 2007-07-10.
Collie Blevins Shaw's current location address is 2200 Ada Ave, Conway, Arkansas. You can contact this provider via phone number 5013273929 and fax number 5013293816. The mailing address for Collie Blevins Shaw is 2200 Ada Ave, Conway, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Collie Blevins Shaw |
|---|---|
| Address | 2200 Ada Ave, Conway, Arkansas |
| Phone Number | 5013273929 |
| Fax Number | 5013293816 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1598763641 |
|---|---|
| Provider Enumeration Date | 2005-07-12 |
| Last Updated Date | 2007-07-10 |
Provider Mailing Address Detail
| Address | 2200 Ada Ave |
|---|---|
| City | Conway |
| State | Arkansas (AR) |
| Post Code | 720344985 |
| Phone Number | 5013273929 |
| Fax Number | 5013293816 |
Provider's Primary Taxonomy Detail
| Speciality | Otolaryngology |
|---|---|
| Taxonomy | 207Y00000X |
| Licence No | C7970 |
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Definition: An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head an |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 127214001 | AR | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Collie Blevins Shaw?
The Collie Blevins Shaw has been issued the NPI (National Provider Identifier) 1598763641 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Collie Blevins Shaw?
The Collie Blevins Shaw is physically situated at 2200 Ada Ave, in the city of Conway, state of AR, with the postal code 720344985.
What is Collie Blevins Shaw's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Collie Blevins Shaw is Otolaryngology, and the taxonomy code that classifies this field of practice is 207Y00000X.
When did Collie Blevins Shaw receive its 1598763641 assignment?
The Collie Blevins Shaw was assigned its 1598763641 on 2005-07-12, which is the date when this unique identifier was issued to the organization.
As of what date were the Collie Blevins Shaw's details last updated?
The information pertaining to the Collie Blevins Shaw, including its address, specialty, and other details, was most recently updated on 2007-07-10.