Individual
DR. ROBERT A SHIREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
318 RED OAKS SHOPPING CTR, RONCEVERTE, WV 24970-1364
(304) 645-1117
(304) 645-1148
Mailing address
318 RED OAKS SHOPPING CTR, RONCEVERTE, WV 24970-1348
(304) 645-1117
(304) 645-1148
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
12863
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0084194000
—
WV
Enumeration date
09/14/2005
Last updated
09/23/2019
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