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Contact Information

SUZANNE L SHAW, MD
3000 15TH AVE SOUTH
GREAT FALLS, MT59405
 Phone: 406-454-2171
 Fax: 406-771-3021
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
Indicates primary specialty

NPI Profile & details for SUZANNE L SHAW · (Female)

NPI Number 1770577942
Status Active
Credentials MD
Entity Individual
Enumeration date 09/02/2005
Last updated 08/08/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • MT License # 7782
  • MT Medicaid 0072371
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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