NPI 1902919814

Shannon Leigh Calvert, MD

Practitioner Pediatrics Physician Bolivar, MO

Practice location

Address: 1195 N Oakland Ave Suite 2, Bolivar, MO 65613-8095
Phone: (417) 777-2121
Fax: (417) 777-2854
Mailing address: 1500 N Oakland Ave, Bolivar, MO 65613-3011

Registered specialties

Pediatrics Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence 2004015320 (MO)

Other Pediatrics providers in Missouri →

Registry record

NPI: 1902919814
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Aug 2006
Record last updated: 23 Feb 2017

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.