Harrison Joseph Shawa

Dermatology Physician · Saint Louis, MO

Individual Active NPI

NPI number 1821739699

Practice location

4590 Nash Way # 90-29928
Saint Louis, MO 63110-1020
Phone
(314) 747-3000

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NPI record

NPI
1821739699
Entity type
Individual (Type 1)
Enumeration date
April 5, 2022
Last updated
August 22, 2024
Certified
August 22, 2024
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dermatology Physician Primary 207N00000X 2024019911 MO

Mailing address

11270 Hidden Peak Ave Unit 204
Las Vegas, NV 89135-3603
Phone
(775) 686-0909

About Harrison Shawa

Harrison Joseph Shawa is a healthcare provider registered in the NPI registry with the primary taxonomy Dermatology Physician (code 207N00000X). The practice location is 4590 Nash Way # 90-29928, Saint Louis, MO 63110-1020. The NPI number 1821739699 was assigned on April 5, 2022 and the record was last updated on August 22, 2024.

Harrison Shawa lists a license in the registry: #2024019911 (MO) for Dermatology Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Harrison Joseph Shawa?

The NPI number is 1821739699.

What is the phone number of Harrison Shawa?

The phone number listed for the practice location is (314) 747-3000.

Where is Harrison Shawa located?

4590 Nash Way # 90-29928, Saint Louis, MO 63110-1020.

What is the taxonomy code for Harrison Shawa?

The primary taxonomy code is 207N00000X – Dermatology Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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