Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Surgery, Foot & Ankle |
213ES0103X | 48 | Podiatry |
| NPI # | 1750400768 |
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| LBN Legal business name | JEFFREY E SHOOK DPM PLLC | ||||||||||||||||
| Authorized official | JEFFREY SHOOK - (PRACTICE MANAGER) | ||||||||||||||||
| Entity | Organization | ||||||||||||||||
| Organization subpart 1 | No | ||||||||||||||||
| Enumeration date | 03/29/2007 | ||||||||||||||||
| Last updated | 10/25/2007 - About 19 years ago | ||||||||||||||||
| Identifiers |
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