Individual provider · Type 1 NPI
Jeffrey E. Shook, DPM
Foot & Ankle Surgery Podiatrist · Logan, WV
NPI number
1346207487
Active
Practice location
20 Hospital Dr
Logan, WV 25601-3452
Fax (304) 831-1527
Mailing address
90 Jackson Pike
Gallipolis, OH 45631-1560
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 00315 (WV) |
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | 36.002904 (OH) |
Foot & Ankle Surgery Podiatrist: Definition to come...
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About NPI 1346207487
Jeffrey E. Shook, DPM's National Provider Identifier is 1346207487, issued on May 1, 2006. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Logan, WV. The record was last updated on Jun 29, 2010.