Individual
PHILIP T SHINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1615 FRANKLIN RD SW, ROANOKE, VA 24016-5208
(540) 982-8204
Mailing address
1615 FRANKLIN RD SW, ROANOKE, VA 24016-5208
(540) 982-8204
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
0101021689
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6037542
—
VA
05
—
6071406
—
VA
01
—
CI6105
RR MEDICARE GROUP
VA
Enumeration date
08/02/2005
Last updated
08/12/2011
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