Individual
LEWIS DAVID SHULER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2550 LUSK DR, NEOSHO, MO 64850-8855
(417) 451-2227
(417) 451-2169
Mailing address
2550 LUSK DR, NEOSHO, MO 64850-8855
(417) 451-2227
(417) 451-2169
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
R4E69
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100221020B
—
OK
05
—
100229930D
—
KS
05
—
242091734
—
MO
Enumeration date
06/24/2006
Last updated
11/28/2012
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