Ivan Courtney Shorter D.O.

NPI 1154338689 - Family Medicine - 207Q00000X

NPI Details
NPI 1154338689
Gender Male
Enumeration Date 08/01/2006
Last Updated 04/04/2013
Entity Type Individual
Active Over 10 years ago
Practice Location
1575 HIGHLANDS DR
SUITE 204
LITITZ PA, 17543-7507, US
Phone (717) 627-2804
Fax (717) 627-2940
Business Location
351 CREEKSIDE LN
LITITZ PA, 17543-6811, US
Phone (305) 389-3338
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State Pennsylvania
License Number OS013175
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According to our database, Ivan Courtney Shorter D.O. NPI is 1154338689, taxonomy code is 207Q00000X and license number is OS013175, license state is located at Pennsylvania. Ivan Courtney Shorter D.O. physically located at 1575 Highlands Dr, Lititz PA, 17543-7507. NPI Number Ivan Courtney Shorter D.O. has the Individual type.

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1154338689 NPI number is provided on an as is basis without warranty of any kind. 1154338689 is maintained by the National Plan & Provider Enumeration System. The contents of Ivan Courtney Shorter D.O. are for informational purposes only.