Individual
DR. CYNTHIA E. SHOUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
119 1ST AVE W, OSKALOOSA, IA 52577-3243
(641) 673-7708
(641) 673-0979
Mailing address
119 1ST AVE W, OSKALOOSA, IA 52577-3243
(641) 673-7708
(641) 673-0979
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1757
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0187526
—
IA
Enumeration date
01/11/2006
Last updated
10/18/2007
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