DAVID SHOUP

FORT LEONARD WOOD, MO
NPI1386795722
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MO  2000175328)
Enumeration Date2007-01-14
Last Update Date2023-03-22
Business Address
DAVID SHOUP
4430 MISSOURI AVE
FORT LEONARD WOOD, MO 65473-9098
Phone number: 573-596-9602
Mailing Address
DAVID SHOUP
4430 MISSOURI AVE
FORT LEONARD WOOD, MO 65473-9098
Phone number: 573-596-9602
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