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Individual

DR. PATRICK ANDERSON MCSHANE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
1834 S STEWART AVE, SPRINGFIELD, MO 65804-2519
(417) 889-3338
(417) 889-0953
Mailing address
1834 S STEWART AVE, SPRINGFIELD, MO 65804-2519
(417) 889-3338
(417) 889-0953

Taxonomy

Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
00632
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
360359707
MO
05
500359708
MO
01
9932
BCBS PROVIDER #
MO
Enumeration date
11/14/2006
Last updated
04/12/2026
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