Individual
STEPHEN SHIVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1800 ORLEANS ST, ZAYED 7125R, BALTIMORE, MD 21287-0010
(410) 955-6780
Mailing address
1800 ORLEANS ST, ZAYED 7125R, BALTIMORE, MD 21287-0010
(443) 287-6961
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
C00502
MD
Other
Enumeration date
11/15/2012
Last updated
08/17/2016
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