Individual
DANIEL SHOOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
126 IVY HILLS TER, PURCELLVILLE, VA 20132-6144
(703) 544-7088
Mailing address
PO BOX 2550, PURCELLVILLE, VA 20134-4550
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
0101052811
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1386823748
—
VA
Enumeration date
11/01/2007
Last updated
05/17/2014
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