Individual
MR. JUSTIN D SHIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1855 MEADOW RUN RD, BEAR CREEK TOWNSHIP, PA 18702-9655
(863) 510-6379
Mailing address
1855 MEADOW RUN RD, BEAR CREEK TOWNSHIP, PA 18702-9655
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
11/14/2025
Last updated
11/14/2025
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