Individual
JEFFREY C SHIVERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
232 W 25TH ST, ERIE, PA 16544-0002
(814) 877-2241
(814) 456-4542
Mailing address
PO BOX 49, PITTSBURGH, PA 15230-0049
(412) 937-5949
(412) 937-5705
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MD026655E
PA
Other
Enumeration date
06/01/2005
Last updated
11/05/2008
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