Organization
JEFFREY E SHOOK DPM PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY EDWARD SHOOK M.D. (PRACTICE MANAGER)
(304) 755-8088
Entity
Organization
Contact information
Practice address
2915 3RD AVE, HUNTINGTON, WV 25702-1401
(304) 755-8088
Mailing address
2915 3RD AVE, HUNTINGTON, WV 25702-1401
(304) 755-8088
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
00315
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0227678
—
OH
05
—
6420018000
—
WV
01
—
DF7723
RAILROAD
—
Enumeration date
03/29/2007
Last updated
10/25/2007
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