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Individual

DR. DANIEL RAY SHIREY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4055 GATEWAY BLVD, NEWBURGH, IN 47630-8947
(812) 858-3051
(812) 858-3060
Mailing address
10700 COACH LIGHT DR, EVANSVILLE, IN 47725-8674
(812) 867-7199

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
01041821A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100243020A
IN
05
64877004
KY
Enumeration date
03/20/2006
Last updated
04/27/2011
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