Individual
DR. JACOB CARL SHOOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
MEDAC 7860, JOINT BASE ELMENDORF RICHARDSON, AK 99505
(907) 384-3895
Mailing address
5188 N SLATE CIR, WASILLA, AK 99654-1012
(570) 690-0421
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1721
NE
Other
Enumeration date
06/09/2016
Last updated
02/28/2023
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