Trent E Shaw, PA-C is a medical physician assistant in Rexburg, ID with 24 years of experience. Trent E Shaw, PA-C NPI is 1366488926. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
72 E MAIN ST
REXBURG, ID
ZIP 83440-926
Phone: (208) 359-1770
Fax: (208) 359-1780
The NPI 1366488926 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 6/21/2006 and was last updated on 9/30/2011.