MARK S SHORT

FORT LEONARD WOOD, MO
NPI1194748863
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MO  2011012296)
Enumeration Date2006-07-25
Last Update Date2021-05-06
Business Address
MARK S SHORT PA-C
126 MISSOURI AVE MCXP-CCS-CR
FORT LEONARD WOOD, MO 65473-8952
Phone number: 573-596-0417
Mailing Address
MARK S SHORT PA-C
126 MISSOURI AVE MCXP-CCS-CR
FORT LEONARD WOOD, MO 65473-8952
Phone number: 573-596-0417
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