Provider Demographics
NPI:1467870410
Name:SHAW, WALKER ROBERT (MD)
Entity Type:Individual
Prefix:DR
First Name:WALKER
Middle Name:ROBERT
Last Name:SHAW
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:22594 TREETOP LN
Mailing Address - Street 2:
Mailing Address - City:GOLDEN
Mailing Address - State:CO
Mailing Address - Zip Code:80401-8042
Mailing Address - Country:US
Mailing Address - Phone:303-918-9485
Mailing Address - Fax:
Practice Address - Street 1:1364 CLIFTON RD NE
Practice Address - Street 2:3B SOUTH, EMORY UNIVERSITY HOSPITAL
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30322
Practice Address - Country:US
Practice Address - Phone:800-711-5444
Practice Address - Fax:404-778-5405
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-06
Last Update Date:2018-06-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CODR.0060215207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology