Individual
DR. MARK SHAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D., CCC-A
Contact information
Practice address
5015 E. 29TH STREET NORTH, 'ENTRANCE T', WICHITA, KS 67220
(316) 978-3289
(316) 978-7264
Mailing address
1305 E 5TH AVE, WINFIELD, KS 67156-2406
(316) 978-3289
(316) 978-7264
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
—
—
Other
Enumeration date
07/06/2012
Last updated
01/28/2019
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