Individual
JOHN W SHOOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4320 WORNALL RD, STE 530, KANSAS CITY, MO 64111-5941
(816) 932-2836
Mailing address
901 E 104TH ST, MAILSTOP 400, KANSAS CITY, MO 64131
(816) 502-8755
(816) 932-9670
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
18126
NE
208600000X
Surgery Physician
425057
KS
208600000X
Surgery Physician
R2F07
MO
2086X0206X
Surgical Oncology Physician
425057
KS
2086X0206X
Surgical Oncology Physician
Primary
R2F07
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1215976915
—
MO
Enumeration date
06/06/2006
Last updated
11/13/2017
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