ANTHONY RUSSELL SHAVER

WICHITA, KS
NPI1871962456
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: KS  53-76946-012)
Enumeration Date2015-09-24
Last Update Date2015-09-24
Business Address
MR. ANTHONY RUSSELL SHAVER APRN
3311 E. MURDOCK
WICHITA, KS 67208
Phone number: 316-689-9107
Mailing Address
MR. ANTHONY RUSSELL SHAVER APRN
3311 E. MURDOCK
WICHITA, KS 67208
Phone number: 316-689-9107
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