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NPI Code Detail

MEDICARE: JAMES SHAVER

MEDICARE: JAMES SHAVER
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
1208000000XPediatrics PhysicianMD423939PA

General Provider Information

NPI Number : 1174526032
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMES SHAVER
Provider Business Mailing Address
First Line : 11279 PERRY HWY
Second Line : STE 450
City : WEXFORD
State : PA
Zip : 15090-9303
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6343 PENN AVE
Second Line : SUITE 201
City : PITTSBURGH
State : PA
Zip : 15206-4011
Country : US
Telephone Number : 412-363-2200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2005
Last Update Date : 03/25/2021

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Directions to “ JAMES SHAVER ” Practice Location

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