Individual
DR. SHIRLEY JOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
100 NEW SALEM ROAD, SUITE 116, UNIONTOWN, PA 15401
(724) 437-0729
(724) 437-2761
Mailing address
100 NEW SALEM ROAD, SUITE 116, UNIONTOWN, PA 15401
(724) 437-0729
(724) 437-2761
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD068587L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017665890005
—
PA
05
—
2316014
—
OH
05
—
3810001565
—
WV
Enumeration date
08/15/2005
Last updated
05/09/2017
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