NPI 1710847579

Justin D Shiver

Practitioner Independent Duty Corpsman Bear Creek Township, PA

Practice location

Address: 1855 Meadow Run Rd, Bear Creek Township, PA 18702-9655
Phone: (863) 510-6379

Registered specialties

Independent Duty Corpsman Primary

Other Service Providers Taxonomy 1710I1002X

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Registry record

NPI: 1710847579
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Nov 2025
Record last updated: 14 Nov 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.