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NPI Code Detail

MEDICARE: DR. DAVID R SHOBER DO

MEDICARE: DR. DAVID R SHOBER DO
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
1207Q00000XFamily Medicine PhysicianOS007137LPA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1255319042
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID R SHOBER DO
Provider Business Mailing Address
First Line : 2520 WILMINGTON RD
Second Line :
City : NEW CASTLE
State : PA
Zip : 16105-1644
Country : US
Telephone Number : 724-658-7550
Fax Number : 724-658-7551
Provider Business Practice Location Address
First Line : 2520 WILMINGTON RD
Second Line :
City : NEW CASTLE
State : PA
Zip : 16105-1644
Country : US
Telephone Number : 724-658-7550
Fax Number : 724-658-7551
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/03/2006
Last Update Date : 07/09/2007

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Directions to “ DR. DAVID R SHOBER DO” Practice Location

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