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Contact Information

MICHAEL C SHAW, MD
140 E 1000 S
SUITE B2
BRIGHAM CITY, UT84302
 Phone: 435-515-3030
 Fax: 435-515-3434
 Website: https://www.mountaintopmedical.com
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for MICHAEL C SHAW · (Male)

NPI # 1235161936
Status Active
Credentials MD
Entity Individual
Enumeration date 07/06/2006
Last updated 03/23/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • UT License # 5181650-1205
  • UT Medicaid 870282100012
Hospital affiliation(s)
  • BRIGHAM CITY COMMUNITY HOSPITAL - (Acute Care)
    950 SOUTH MEDICAL DRIVE
    BRIGHAM CITY, UT 84302
  • OGDEN REGIONAL MEDICAL CENTER - (Acute Care)
    5475 SOUTH 500 EAST
    OGDEN, UT 84405
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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