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NPI Code Detail

MEDICARE: DR. FRANK A SHIRLEY MD

MEDICARE: DR. FRANK A SHIRLEY MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208600000XSurgery PhysicianR8819MO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1115990OTHERBLUE CROSS OF MO
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1740371509
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. FRANK A SHIRLEY MD
Provider Business Mailing Address
First Line : PO BOX 4046
Second Line :
City : SPRINGFIELD
State : MO
Zip : 65808-4046
Country : US
Telephone Number : 417-236-2440
Fax Number : 417-354-1458
Provider Business Practice Location Address
First Line : 801 N. LINCOLN AVE
Second Line : STE E
City : MONETT
State : MO
Zip : 65708-1641
Country : US
Telephone Number : 417-236-2440
Fax Number : 417-354-1458
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/27/2006
Last Update Date : 01/08/2013

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Directions to “ DR. FRANK A SHIRLEY MD” Practice Location

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