Individual
DR. JONATHAN B SHOOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13430 N MERIDIAN ST STE 367, CARMEL, IN 46032-1484
(317) 575-2700
(317) 575-2713
Mailing address
8450 NORTHWEST BLVD, INDIANAPOLIS, IN 46278-1381
(317) 802-2000
(317) 802-2170
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
01065236
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200908900
—
IN
Enumeration date
03/25/2008
Last updated
05/14/2024
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