Individual provider · Type 1 NPI

Thomas D. Shook Jr., PA-C

Surgical Physician Assistant · Fresno, CA

NPI number 1770838856 Active

Practice location

2823 Fresno St
Fresno, CA 93721-1324

Fax (559) 459-3719

Mailing address

2625 E Divisadero St
Fresno, CA 93721-1431

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X22400 (CA)
Physician Assistant 363A00000X22400 (CA)

Surgical Physician Assistant: Definition to come...

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About NPI 1770838856

Thomas D. Shook Jr., PA-C's National Provider Identifier is 1770838856, issued on Jul 16, 2012. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Fresno, CA. The record was last updated on Oct 1, 2020.