Provider Demographics
NPI:1922098276
Name:MAY, SHAWNO EGBERT (MD)
Entity Type:Individual
Prefix:DR
First Name:SHAWNO
Middle Name:EGBERT
Last Name:MAY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:SHAWNO
Other - Middle Name:EGBERT
Other - Last Name:MAY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:161 W 200 N STE 200
Mailing Address - Street 2:
Mailing Address - City:ST GEORGE
Mailing Address - State:UT
Mailing Address - Zip Code:84770-7386
Mailing Address - Country:US
Mailing Address - Phone:435-674-0832
Mailing Address - Fax:435-652-1516
Practice Address - Street 1:161 W 200 N STE 200
Practice Address - Street 2:
Practice Address - City:ST GEORGE
Practice Address - State:UT
Practice Address - Zip Code:84770-7386
Practice Address - Country:US
Practice Address - Phone:435-674-0832
Practice Address - Fax:435-652-1516
Is Sole Proprietor?:No
Enumeration Date:2005-10-27
Last Update Date:2018-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00035058207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology