Individual
DAVID WILLIAM SHOUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
19389 N 59TH AVE, GLENDALE, AZ 85308-6500
(623) 537-6000
(623) 537-6014
Mailing address
19555 N 59TH AVE, GLENDALE, AZ 85308-6813
(623) 537-6000
(623) 537-6014
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
AZ3125
AZ
207Q00000X
Family Medicine Physician
AZ03125
AZ
Other
Enumeration date
09/19/2006
Last updated
02/17/2010
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