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Organization
SHIVERS MEDICAL SERVICES LIMITED
Active
Organization
SHIVERS MEDICAL SERVICES LIMITED
Active
Other names
R. Mark Shivers Sole MBR
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD MARK SHIVERS MD (OWNER / MD)
(330) 614-8411
Entity
Organization
Contact information
Practice address
214 WOODSIDE DRIVE, SALEM, OH 44460-7688
(330) 614-8411
(330) 244-8521
Mailing address
4347 PORTAGE ST NW, SUITE 102, NORTH CANTON, OH 44720-7371
(330) 614-8411
(330) 244-8521
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0975995
—
OH
Enumeration date
11/12/2021
Last updated
11/16/2021
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