Individual
DR. MARK CYRIL SHEARS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1800 E PARK AVE, STATE COLLEGE, PA 16803-6701
(814) 234-6137
(814) 234-6795
Mailing address
PO BOX 197, STATE COLLEGE, PA 16804-0197
(814) 235-1208
(814) 235-1566
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD035513E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001155770
—
PA
Enumeration date
11/17/2005
Last updated
05/15/2008
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