Individual
MR. LESLIE LEON SHOOK II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
N.P.
Contact information
Practice address
2767 JANITELL RD, COLORADO SPRINGS, CO 80906-4102
(719) 365-2888
Mailing address
2767 JANITELL RD, COLORADO SPRINGS, CO 80906-4102
(719) 365-2888
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
10346
CO
Other
Enumeration date
04/21/2011
Last updated
09/14/2011
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