Individual
ROBERT CHARLES SHIREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
5304 N ROAD 68, PASCO, WA 99301-9189
(509) 543-9300
Mailing address
520 N 4TH AVE, PASCO, WA 99301-5257
(509) 416-8849
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10004176
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1012882
—
WA
Enumeration date
09/22/2006
Last updated
08/17/2016
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