Individual
MR. LEROY E SHUGART
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
750 W D AVE, KINGMAN, KS 67068-1266
(620) 532-3147
(620) 532-3147
Mailing address
1119 COUNTRYSIDE DR, MCPHERSON, KS 67460-2109
(620) 241-4205
(620) 532-0167
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1500190
KS
Other
Enumeration date
05/04/2006
Last updated
07/09/2007
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