Organization
SHIREY & SHIREY M C
Active
Organization
SHIREY & SHIREY M C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT A SHIREY M.D. (PRESIDENT)
(304) 645-1117
Entity
Organization
Contact information
Practice address
17 RED OAKS SHOPPING CTR, RONCEVERTE, WV 24970-1348
(304) 645-1117
(304) 645-1148
Mailing address
17 RED OAKS SHOPPING CTR, RONCEVERTE, WV 24970-1348
(304) 645-1117
(304) 645-1148
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
00855
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0084194000
—
WV
01
—
110049472
MEDICARE RAIL ROAD NUMBER
WV
01
—
1306544SHIR
UMWA NUMBER
WV
Enumeration date
01/25/2007
Last updated
02/22/2011
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