PHILIP R SHUPE

GLENDALE, CA
NPI1952343808
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy213ES0103X Podiatrist, Foot & Ankle Surgery
(Licence: CA  E2648)
Enumeration Date2006-06-12
Last Update Date2020-04-22
Business Address
PHILIP R SHUPE DPM
1530 E CHEVY CHASE DR SUITE 107
GLENDALE, CA 91206-4163
Phone number: 818-265-1581
Mailing Address
PHILIP R SHUPE DPM
PO BOX 2180
TOLUCA LAKE, CA 91610-0180
Phone number: