Individual provider · Type 1 NPI

Richard B. Shore Ii, PA-C

Medical Physician Assistant · Muncie, IN

NPI number 1972086437 Active

Practice location

2401 W University Ave
Muncie, IN 47303-3428

Fax (765) 741-2961

Mailing address

250 N Shadeland Ave
Indianapolis, IN 46219-4959

Other practice locations

  • 1111 Ronald Reagan Pkwy, Avon, IN 46123-7085 · (317) 217-3000
  • 1701 N Senate Blvd, Indianapolis, IN 46202-1239 · (888) 484-3258

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X10002567A (IN)
Medical Physician Assistant Primary 363AM0700X10002567A (IN)

Medical Physician Assistant: Definition to come...

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About NPI 1972086437

Richard B. Shore Ii, PA-C's National Provider Identifier is 1972086437, issued on Sep 11, 2018. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Muncie, IN. The record was last updated on Feb 16, 2025.