Individual
ROBERT GEORGE SHUPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
13677 W MCDOWELL RD, GOODYEAR, AZ 85395-2635
(623) 882-1500
Mailing address
7521 E LAGUNA AZUL AVE, MESA, AZ 85209-4932
(435) 592-0118
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4929
AZ
Other
Enumeration date
10/17/2011
Last updated
10/17/2011
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